# HOME, INC

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

## Provider details

- **NPI number:** 1730278540
- **Authorized official:** MR. ROUSTAM ALIVERDI (PRESIDENT)
- **Authorized official phone:** (301) 519-8611

## Contact information

- **Practice address:** 15 E DEER PARK DR, GAITHERSBURG, MD 20877-2000
- **Practice address phone:** (301) 519-8611
- **Practice address fax:** (301) 519-8633
- **Mailing address:** 10613 FOREST LANDING WAY, ROCKVILLE, MD 20850-3935
- **Mailing address phone:** (301) 519-8611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2115 | MD | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020
