Provider Demographics
NPI:1114796463
Name:EPIC HOMECARE SERVICES
Entity Type:Organization
Organization Name:EPIC HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-329-4555
Mailing Address - Street 1:403 STOCKTON ST APT 4312
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-4358
Mailing Address - Country:US
Mailing Address - Phone:202-329-4555
Mailing Address - Fax:
Practice Address - Street 1:403 STOCKTON ST APT 4312
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-4358
Practice Address - Country:US
Practice Address - Phone:202-329-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health