Healthcare Provider Details
I. General information
NPI: 1407435076
Provider Name (Legal Business Name): CARING HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2021
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US
IV. Provider business mailing address
12355 HERRINGTON MANOR DR
SILVER SPRING MD
20904-1677
US
V. Phone/Fax
- Phone: 202-459-8998
- Fax:
- Phone: 301-847-8068
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
PATRICIA
G
KPOLIE
Title or Position: FNP
Credential: NURSE PRACTITIONER
Phone: 240-755-1924