- Enrollment id
- O20231101003123
- Enrollment state
- MD
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1912692484
- Multiple npi flag
- N
- Ccn
- 217134
- Associate id
- 3476909078
- Organization name
- ADORATION HOME HEALTH CARE MARYLAND LLC
- Doing business as name
- ADORATION HOME HEALTH BALTIMORE
- Incorporation date
- 2023-02-16
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 4701 MOUNT HOPE DR
- Address line 2
- STE B
- City
- BALTIMORE
- State
- MD
- Zip code
- 212153213