Healthcare Provider Details
I. General information
NPI: 1205923604
Provider Name (Legal Business Name): DCA CAPITOL HILL SNF LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
223 7TH ST NE
WASHINGTON DC
20002-7045
US
IV. Provider business mailing address
700 CONSTITUTION AVENUE NE
WASHINGTON DC
20002
US
V. Phone/Fax
- Phone: 202-546-5700
- Fax: 202-675-0411
- Phone: 202-546-5700
- Fax: 202-675-0411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARC
C.
FERRELL
Title or Position: PRESIDENT & CEO
Credential:
Phone: 202-741-4170