Healthcare Provider Details

I. General information

NPI: 1497879910
Provider Name (Legal Business Name): PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SCHOOL ST SW SUITE 200
WASHINGTON DC
20024
US

IV. Provider business mailing address

7619 LITTLE RIVER TPKE SUITE 600
ANNANDALE VA
22003-2625
US

V. Phone/Fax

Practice location:
  • Phone: 202-955-8355
  • Fax: 202-289-5461
Mailing address:
  • Phone: 703-752-8700
  • Fax: 703-752-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANEIL NAYAK
Title or Position: PROJECT MANAGEMENT DIRECTOR
Credential:
Phone: 703-752-8732