Provider Demographics
NPI:1326466566
Name:DEPARTMENT HEALTH FINANCE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:DEPARTMENT HEALTH FINANCE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSTMENT ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-724-4096
Mailing Address - Street 1:441 4TH ST NW
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-2714
Mailing Address - Country:US
Mailing Address - Phone:202-442-5988
Mailing Address - Fax:
Practice Address - Street 1:441 4TH ST NW
Practice Address - Street 2:9TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-2714
Practice Address - Country:US
Practice Address - Phone:202-442-5988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
DCHCA-0067385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care