Provider Demographics
NPI:1225390081
Name:AGNEUS HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:AGNEUS HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMONISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-254-5424
Mailing Address - Street 1:7411 RIGGS RD
Mailing Address - Street 2:SUITE
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4246
Mailing Address - Country:US
Mailing Address - Phone:301-254-5424
Mailing Address - Fax:
Practice Address - Street 1:7411 RIGGS RD
Practice Address - Street 2:SUITE
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4246
Practice Address - Country:US
Practice Address - Phone:301-254-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X, 251J00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care