Provider Demographics
NPI:1407387830
Name:C.N.S HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:C.N.S HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANTEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-5922
Mailing Address - Street 1:3114 LAVALL CT
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7502
Mailing Address - Country:US
Mailing Address - Phone:240-413-5922
Mailing Address - Fax:
Practice Address - Street 1:3114 LAVALL CT
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20774-7502
Practice Address - Country:US
Practice Address - Phone:240-413-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3959251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health