Healthcare Provider Details
I. General information
NPI: 1144664608
Provider Name (Legal Business Name): HSC HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2013
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1731 BUNKER HILL RD NE
WASHINGTON DC
20017-3026
US
IV. Provider business mailing address
1713 BUNKER HILL ROAD NE
WASHINGTON DC
20017
US
V. Phone/Fax
- Phone: 202-635-6146
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | PT871075 |
| License Number State | DC |
VIII. Authorized Official
Name:
PATRICIA
AUSTIN
Title or Position: VICE PRESIDENT
Credential: MSN
Phone: 202-635-6146