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NPI Code Detail

MEDICARE: WORSHIP HEALTHCARE INC

MEDICARE: WORSHIP HEALTHCARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1215697354
Entity Type Code : Organization
Provider Name (Legal Business Name) : WORSHIP HEALTHCARE INC
Provider Business Mailing Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 202-983-0023
Fax Number :
Provider Business Practice Location Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 443-447-2378
Fax Number :
Authorized Official
Title or Position : CEO
Name : ERIC ASSAH
Credential :
Telephone Number : 202-983-0023
Provider Enumeration Date : 12/29/2021
Last Update Date : 01/13/2026

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