Provider Demographics
NPI:1538937248
Name:WEST POINTE HEALTHCARE LLC
Entity type:Organization
Organization Name:WEST POINTE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:SIAH
Authorized Official - Last Name:TAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:240-354-3205
Mailing Address - Street 1:5 GWYNNS MILL CT STE 5C
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3529
Mailing Address - Country:US
Mailing Address - Phone:667-678-1048
Mailing Address - Fax:888-919-4634
Practice Address - Street 1:5 GWYNNS MILL CT STE 5C
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3529
Practice Address - Country:US
Practice Address - Phone:667-678-1048
Practice Address - Fax:888-919-4634
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST POINTE HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care