Healthcare Provider Details

I. General information

NPI: 1194972398
Provider Name (Legal Business Name): AMERICAN HEALTH AND MEDICAL SUPPLY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 RHODE ISLAND AVE NE SUITE# 200
WASHINGTON DC
20018-2835
US

IV. Provider business mailing address

2004 RHODE ISLAND AVE NE SUITE# 200
WASHINGTON DC
20018-2835
US

V. Phone/Fax

Practice location:
  • Phone: 202-465-4844
  • Fax: 202-558-6421
Mailing address:
  • Phone: 202-465-4844
  • Fax: 202-558-6421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateDC

VIII. Authorized Official

Name: MRS. BEATRICE IJEOMA UNAEGBU
Title or Position: DIRECTOR/ PRESIDENT
Credential: B.S. NUTRITION/MNGT
Phone: 202-465-4844