Healthcare Provider Details

I. General information

NPI: 1902184229
Provider Name (Legal Business Name): TIMELY PERFORMANCE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 GEORGIA AVE NW #4
WASHINGTON DC
20012-1778
US

IV. Provider business mailing address

7410 GEORGIA AVE NW #4
WASHINGTON DC
20012-1778
US

V. Phone/Fax

Practice location:
  • Phone: 202-506-2716
  • Fax:
Mailing address:
  • Phone: 202-506-2716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number052210300
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number052210300
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number052210300
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number052210300
License Number StateDC

VIII. Authorized Official

Name: ELIZABETH J GOHLA
Title or Position: CEO
Credential:
Phone: 301-728-0354