Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence In-Home Care Services

Organization Nurse's Aide · NPI 1104798917

Providence In-Home Care Services provides Nurse's Aide services in Clarksburg, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12652 Piedmont Trail Rd
Clarksburg, MD 20871-4305
Phone: (240) 614-6946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1104798917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Funmilayo Johnson — Owner · (240) 614-6946
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 21, 2025
Mailing address12652 Piedmont Trail Rd, Clarksburg, MD 20871-4305