Healthcare Provider Details

I. General information

NPI: 1225533086
Provider Name (Legal Business Name): D.C. HOME HEALTH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 L'EFANT PLAZA SW SUITE 985
WASHINGTON DC
20024
US

IV. Provider business mailing address

100 CHALLENGER RD STE 105
RIDGEFIELD PARK NJ
07660-2121
US

V. Phone/Fax

Practice location:
  • Phone: 202-282-3004
  • Fax:
Mailing address:
  • Phone: 551-225-8702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPENDING
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. SIMON SHEMIA
Title or Position: MANAGING MEMBER
Credential:
Phone: 551-225-8702