Healthcare Provider Details

I. General information

NPI: 1336730332
Provider Name (Legal Business Name): COMMCENTRIX HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 ANNAPOLIS RD STE 212
LANHAM MD
20706-3066
US

IV. Provider business mailing address

9420 ANNAPOLIS RD STE 212
LANHAM MD
20706-3066
US

V. Phone/Fax

Practice location:
  • Phone: 240-779-3767
  • Fax:
Mailing address:
  • Phone: 240-779-3767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ABAYOMI SOKOYA
Title or Position: PRESIDENT
Credential:
Phone: 240-779-3767