Healthcare Provider Details

I. General information

NPI: 1275790487
Provider Name (Legal Business Name): CARE FIRST NETWORK,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7603 GEORGIA AVE NW STE 204
WASHINGTON DC
20012-1617
US

IV. Provider business mailing address

7603 GEORGIA AVE NW STE 204
WASHINGTON DC
20012-1617
US

V. Phone/Fax

Practice location:
  • Phone: 301-576-1922
  • Fax: 301-576-1174
Mailing address:
  • Phone: 301-576-1922
  • Fax: 301-576-1174

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 Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1410
License Number StateDC

VIII. Authorized Official

Name: CARNALICE MEKUE NOUMBA
Title or Position: CEO
Credential:
Phone: 301-576-1922