NPI Code Details Logo

NPI 1295285468

NPI 1295285468 : DOCTORS COMMUNITY HOSPITAL : LANHAM, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295285468
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DOCTORS COMMUNITY HOSPITAL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/11/2016
-----------------------------------------------------
    Last Update Date     |    10/11/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8118 GOOD LUCK RD 
-----------------------------------------------------
    City                 |    LANHAM
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20706-3574
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-552-8410
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8118 GOOD LUCK RD 
-----------------------------------------------------
    City                 |    LANHAM
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20706-3574
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PHYSICAL THERAPIST
-----------------------------------------------------
    Name                 |     BARBARA  ANDRADE-SORTO 
-----------------------------------------------------
    Credential           |    PT, DPT, CLT
-----------------------------------------------------
    Telephone            |    301-552-8410
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR0401X
-----------------------------------------------------
    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
-----------------------------------------------------
    License Number       |    25433
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.