Provider Demographics
NPI:1083062871
Name:CITYCARE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CITYCARE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HABIB
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-868-3790
Mailing Address - Street 1:508 KENNEDY ST NW STE 207
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3010
Mailing Address - Country:US
Mailing Address - Phone:202-313-7283
Mailing Address - Fax:
Practice Address - Street 1:508 KENNEDY ST NW STE 207
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3010
Practice Address - Country:US
Practice Address - Phone:202-313-7283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC072417-321251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health