Healthcare Provider Details

I. General information

NPI: 1083493506
Provider Name (Legal Business Name): TELECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 RHODE ISLAND AVE NE APT 101
WASHINGTON DC
20018-1827
US

IV. Provider business mailing address

1617 RHODE ISLAND AVE NE APT 101
WASHINGTON DC
20018-1827
US

V. Phone/Fax

Practice location:
  • Phone: 301-675-4048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. OPEOLU A SANNI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 301-675-4048