Healthcare Provider Details

I. General information

NPI: 1326466566
Provider Name (Legal Business Name): DEPARTMENT HEALTH FINANCE HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2014
Last Update Date: 04/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 4TH ST NW 9TH FLOOR
WASHINGTON DC
20001-2714
US

IV. Provider business mailing address

441 4TH ST NW 9TH FLOOR
WASHINGTON DC
20001-2714
US

V. Phone/Fax

Practice location:
  • Phone: 202-442-5988
  • Fax:
Mailing address:
  • Phone: 202-442-5988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHCA-0067
License Number StateDC

VIII. Authorized Official

Name: MS. ANDREA CLARK
Title or Position: REIMBURSTMENT ANALYST
Credential:
Phone: 202-724-4096