MEDICARE: ST. HELENS HOMES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104272475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. HELENS HOMES INC.

Provider Business Mailing Address
First Line	:	1425 K ST NW
Second Line	:	SUITE 350
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3500
Country	:	US
Telephone Number	:	202-587-5754
Fax Number	:	202-587-3610

Provider Business Practice Location Address
First Line	:	1425 K ST NW
Second Line	:	SUITE 350
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3500
Country	:	US
Telephone Number	:	202-587-5754
Fax Number	:	202-587-3610

Authorized Official
Title or Position	:	CEO
Name	:	MS. STELLA JAMES
Credential	:	LPN
Telephone Number	:	240-441-0535

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	05/05/2016

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Directions to “ST. HELENS HOMES INC. ” Practice Location

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