Healthcare Provider Details
I. General information
NPI: 1487218137
Provider Name (Legal Business Name): GOD'S HOUSE INTERNATIONAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2019
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4705 CAPTAIN BAYNE CT
UPPER MARLBORO MD
20772-5979
US
IV. Provider business mailing address
14605 ELM ST UNIT 1551
UPPER MARLBORO MD
20773-7557
US
V. Phone/Fax
- Phone: 240-482-6171
- Fax:
- Phone: 301-485-6307
- Fax: 240-240-3488
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
YVONNE
WASHINGTON-TURAY
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-BC
Phone: 301-485-6307