# LAVENPORT HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAVENPORT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528207495
- **Legal business name:** LAVENPORT, LLC
- **Authorized official:** MR. KOFI AKOMEAH (ADMINISTRATOR)
- **Authorized official phone:** (410) 454-8174

## Contact information

- **Practice address:** 14213 GRAND PRE RD, SUITE 201, SILVER SPRING, MD 20906-2813
- **Practice address phone:** (301) 300-9357
- **Mailing address:** 14213 GRAND PRE RD, SUITE 201, SILVER SPRING, MD 20906-2813
- **Mailing address phone:** (301) 300-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2732P | MD | Yes |

## Other

- **Enumeration date:** 02/16/2009
- **Last updated:** 02/16/2009