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 is a Nurse's Aide 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