Healthcare Provider Details

I. General information

NPI: 1497572275
Provider Name (Legal Business Name): HEBREW HOME OF GREATER WASHINGTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 MONTROSE RD
ROCKVILLE MD
20852-4803
US

IV. Provider business mailing address

6121 MONTROSE RD
ROCKVILLE MD
20852-4803
US

V. Phone/Fax

Practice location:
  • Phone: 301-770-8377
  • Fax: 301-816-7716
Mailing address:
  • Phone: 301-770-8377
  • Fax: 301-816-7716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ELISA GIL-PIRES
Title or Position: MD
Credential: MD
Phone: 301-770-8377