# EXPRESS HOME & RENAL HEALTHCARE, LLC.

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

## Provider details

- **NPI number:** 1821755968
- **Authorized official:** MR. SOLOMON M FON CPA (CEO/ADMINISTRATOR)
- **Authorized official phone:** (301) 704-2667

## Contact information

- **Practice address:** 10400 CONNECTICUT AVE STE 602, KENSINGTON, MD 20895-3909
- **Practice address phone:** (301) 704-2667
- **Practice address fax:** (301) 649-2109
- **Mailing address:** 10400 CONNECTICUT AVE STE 602, KENSINGTON, MD 20895-3909
- **Mailing address phone:** (301) 704-2667
- **Mailing address fax:** (301) 649-2109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 11/23/2021