Healthcare Provider Details
I. General information
NPI: 1285772772
Provider Name (Legal Business Name): DCA CAPITOL HILL LTAC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
223 7TH ST NE
WASHINGTON DC
20002-7045
US
IV. Provider business mailing address
2760 EISENHOWER AVE STE 406
ALEXANDRIA VA
22314-4579
US
V. Phone/Fax
- Phone: 202-543-4800
- Fax: 202-675-0411
- Phone: 202-574-5731
- Fax: 202-683-2899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282E00000X |
| Taxonomy | Long Term Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SWENDA
MOREH
BEITPOULICE
Title or Position: VP & CHIEF OPERATING OFFICER
Credential:
Phone: 562-453-7474