Provider Demographics
NPI:1902515091
Name:HOMELINK BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:HOMELINK BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:UZOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-803-8120
Mailing Address - Street 1:4010 BLADENSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1614
Mailing Address - Country:US
Mailing Address - Phone:301-458-9459
Mailing Address - Fax:
Practice Address - Street 1:4010 BLADENSBURG RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1614
Practice Address - Country:US
Practice Address - Phone:301-458-9459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health