Provider Demographics
NPI:1053302927
Name:THE WASHINGTON HOME & COMMUNITY HOSPICES INC
Entity Type:Organization
Organization Name:THE WASHINGTON HOME & COMMUNITY HOSPICES INC
Other - Org Name:COMUNITY HOSPICE OF MARYLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-895-0105
Mailing Address - Street 1:11785 BELTSVILLE DR STE 1300
Mailing Address - Street 2:
Mailing Address - City:CALVERTON
Mailing Address - State:MD
Mailing Address - Zip Code:20705-4029
Mailing Address - Country:US
Mailing Address - Phone:202-895-0192
Mailing Address - Fax:202-895-0190
Practice Address - Street 1:11785 BELTSVILLE DR STE 1300
Practice Address - Street 2:
Practice Address - City:CALVERTON
Practice Address - State:MD
Practice Address - Zip Code:20705-4029
Practice Address - Country:US
Practice Address - Phone:301-560-6000
Practice Address - Fax:301-572-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH1513R251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD365162204Medicaid
MD365162201Medicaid
MD365162207Medicaid
DC034169300Medicaid
MD365162202Medicaid
MD365162202Medicaid