Provider Demographics
NPI:1225533086
Name:D.C. HOME HEALTH HOLDINGS LLC
Entity Type:Organization
Organization Name:D.C. HOME HEALTH HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-225-8702
Mailing Address - Street 1:100 CHALLENGER RD STE 105
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-2121
Mailing Address - Country:US
Mailing Address - Phone:551-225-8702
Mailing Address - Fax:
Practice Address - Street 1:955 L'EFANT PLAZA SW
Practice Address - Street 2:SUITE 985
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024
Practice Address - Country:US
Practice Address - Phone:202-282-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPENDING251E00000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
097041OtherSKILLED