Provider Demographics
NPI:1336644483
Name:SWAVILLE HEALTH CARE GROUP, LLC
Entity Type:Organization
Organization Name:SWAVILLE HEALTH CARE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-722-2212
Mailing Address - Street 1:7836 EASTERN AVE NW SUITE 411
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:202-722-2212
Mailing Address - Fax:202-722-2210
Practice Address - Street 1:7836 EASTERN AVE NW SUITE 411
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-722-2212
Practice Address - Fax:202-722-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health