Provider Demographics
NPI:1306192869
Name:FAMILY HEALTH CARE SOLUTIONS INC.
Entity Type:Organization
Organization Name:FAMILY HEALTH CARE SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOMJAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-621-7329
Mailing Address - Street 1:6856 EASTERN AVE NW STE 358
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2142
Mailing Address - Country:US
Mailing Address - Phone:202-621-7329
Mailing Address - Fax:
Practice Address - Street 1:6856 EASTERN AVE NW STE 358
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2142
Practice Address - Country:US
Practice Address - Phone:202-621-7329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC077878700Medicaid