Provider Demographics
NPI:1073382891
Name:INCLUSIVE CARE SERVICES LLC
Entity Type:Organization
Organization Name:INCLUSIVE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:EKWEOZOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-621-0622
Mailing Address - Street 1:409 BRIDLEWREATH WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5584
Mailing Address - Country:US
Mailing Address - Phone:240-621-0622
Mailing Address - Fax:
Practice Address - Street 1:5425 WISCONSIN AVE STE 600-647
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3552
Practice Address - Country:US
Practice Address - Phone:240-621-0622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health