MEDICARE: EARLY HEALTH CARE GIVER, 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	251E00000X	Home Health Agency	R2143	MD

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811216757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLY HEALTH CARE GIVER, INC

Provider Business Mailing Address
First Line	:	6480 NEW HAMPSHIRE AVE
Second Line	:	301
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4716
Country	:	US
Telephone Number	:	240-855-7976
Fax Number	:	301-270-0344

Provider Business Practice Location Address
First Line	:	6480 NEW HAMPSHIRE AVE
Second Line	:	301
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4716
Country	:	US
Telephone Number	:	240-855-7976
Fax Number	:	301-270-0344

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MS. ESTHERE GUY
Credential	:
Telephone Number	:	240-855-7976

Provider Enumeration Date	:	05/17/2010
Last Update Date	:	05/17/2010

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