OrganizationActive
Providence In-Home Care Services
NPI 1104798917 · Nurse's Aide · Clarksburg, MD
Providence In-Home Care Services is a Nurse's Aide organization in Clarksburg, MD (NPI 1104798917).
Provider details
- NPI number
- 1104798917
- Entity type
- Organization
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Funmilayo Johnson, Owner(240) 614-6946
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12652 Piedmont Trail Rd
Clarksburg, MD 20871-4305
Phone: (240) 614-6946
Street-level locationGet directions
Mailing address
12652 Piedmont Trail Rd
Clarksburg, MD 20871-4305
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-09-22
- Certified
- 2025-09-21
Frequently asked questions
- What is Providence In-Home Care Services's NPI number?
- Providence In-Home Care Services's National Provider Identifier (NPI) is 1104798917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence In-Home Care Services?
- Providence In-Home Care Services is classified in the NPPES registry as Nurse's Aide (Nursing Service Related Providers).
- Where is Providence In-Home Care Services located?
- Providence In-Home Care Services's practice location on file with NPPES is 12652 Piedmont Trail Rd, Clarksburg, MD 20871-4305.
- What is Providence In-Home Care Services's phone number?
- The practice phone number listed in the NPPES registry for Providence In-Home Care Services is (240) 614-6946.
- Who is the authorized official for Providence In-Home Care Services?
- The authorized official listed on Providence In-Home Care Services's NPPES record is Funmilayo Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence In-Home Care Services's NPI active?
- Yes — Providence In-Home Care Services's NPI (1104798917) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.