PROVIDENCE IN-HOME CARE SERVICES
NPI 1104798917
Nurse's Aide in Clarksburg, MD

Active since September 22, 2025
12652 PIEDMONT TRAIL RD, CLARKSBURG, MD 20871(240) 614-6946 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence In-home Care Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE IN-HOME CARE SERVICES (NPI 1104798917) is a healthcare organization registered as a nurse's aide in Clarksburg, Maryland and active in the NPI registry since September 2025. The organization lists Funmilayo Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104798917
Entity TypeOrganization
Primary Taxonomy376K00000X
Legal Business NamePROVIDENCE IN-HOME CARE SERVICES
Location Address12652 PIEDMONT TRAIL RDClarksburg, MD 20871-4305
Mailing Address12652 Piedmont Trail RdClarksburg, MD 20871-4305 · (240) 614-6946
Organization SubpartNo
Authorized OfficialFunmilayo JohnsonOwner · (240) 614-6946
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 21, 2025
NPI 1104798917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

12652 PIEDMONT TRAIL RD, Clarksburg, MD 20871

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence In-Home Care Services's NPI number?

The NPI number for Providence In-Home Care Services is 1104798917. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Providence In-Home Care Services located?

Providence In-Home Care Services is located at 12652 Piedmont Trail Rd, Clarksburg, MD 20871. The listed phone number is (240) 614-6946.

What is Providence In-Home Care Services's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Providence In-Home Care Services was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.