Organization · Type 2 NPI

Grey Phoenix LLC

Home Health Agency · Odenton, MD

NPI number 1609663368 Active

Practice location

2689 Orchard Oriole Way
Odenton, MD 21113-3120

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
Nursing Care Agency	251J00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1609663368
Entity type: Organization (Type 2)
Issued: Apr 24, 2025
Last updated: May 2, 2025
Status: Active
Subpart: Yes of Grey Phoenix LLC

Other names

<unavail>
Avender Health Services · doing business as
Avender Health Services · doing business as

Authorized official

Oladipupo Adenubi
MD/ CEO
(202) 681-9190

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About NPI 1609663368

Grey Phoenix LLC's National Provider Identifier is 1609663368, issued on Apr 24, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Odenton, MD. The record was last updated on May 2, 2025.