Healthcare Provider Details

I. General information

NPI: 1831484880
Provider Name (Legal Business Name): DC HOME COMPANION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW SUITE 300
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

2109 GREENERY LN APT 201
SILVER SPRING MD
20906-3613
US

V. Phone/Fax

Practice location:
  • Phone: 202-600-7723
  • Fax:
Mailing address:
  • Phone: 301-367-8151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberNSA-0290
License Number StateDC

VIII. Authorized Official

Name: GENES F MALASY
Title or Position: CFO
Credential:
Phone: 202-600-7723