Organization
STANDARD MEDICAL HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GOODESMITH (PRESIDENT/CEO/OWNER)
(888) 886-1167
Entity
Organization
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759
(888) 886-1167
(888) 886-1167
Mailing address
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759-2683
(888) 886-1167
(888) 886-1167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S07079003
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750580346
—
VA
Enumeration date
07/13/2007
Last updated
12/17/2019
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