Organization
HOMECARE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BAKER (OFFICE MANAGER)
(301) 662-1997
Entity
Organization
Contact information
Practice address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
(301) 668-2202
Mailing address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
(301) 668-2202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBC4H0
MARYLAND BC/BS
MD
01
—
S404
CAREFIRST, BCBS
MD
Enumeration date
08/20/2006
Last updated
09/11/2025
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