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Contact Information

FOREVER HOME, LLC
1324 RAYVILLE RD
PARKTON, MD21120-9056
 Phone: 443-212-5340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for FOREVER HOME, LLC

NPI Number 1619485851
LBN Legal business name FOREVER HOME, LLC
Authorized official KATHLEEN SUBASIC - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2018
Last updated 01/22/2018 - About 8 years ago
Identifiers
MD License # 04200
MD Medicaid 4245806
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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