Healthcare Provider Details

I. General information

NPI: 1265806996
Provider Name (Legal Business Name): THE ASSISTANT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 49TH ST NE
WASHINGTON DC
20019-4822
US

IV. Provider business mailing address

920 49TH ST NE
WASHINGTON DC
20019-4822
US

V. Phone/Fax

Practice location:
  • Phone: 858-242-0091
  • Fax: 202-398-1469
Mailing address:
  • Phone: 858-242-0091
  • Fax: 202-398-1469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RENEE RENESA GREEN
Title or Position: OWNER
Credential:
Phone: 443-354-2721