# HOMECENTRIS COMMUNITY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093183030
- **Authorized official:** TIMOTHY JOSEPH TRYBUS (CFO)
- **Authorized official phone:** (410) 486-5330

## Contact information

- **Practice address:** 1500 BEDFORD AVE, BALTIMORE, MD 21208
- **Practice address phone:** (410) 356-4779
- **Practice address fax:** (410) 415-1137
- **Mailing address:** 10 CROSSROADS DR, SUITE 110, OWINGS MILLS, MD 21117-5458
- **Mailing address phone:** (410) 486-5330
- **Mailing address fax:** (410) 486-5331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2015
- **Last updated:** 08/22/2018