Provider Demographics
NPI:1467546226
Name:SPEQTRUM INC.
Entity Type:Organization
Organization Name:SPEQTRUM INC.
Other - Org Name:SPEQTRUM HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:CHINASA
Authorized Official - Last Name:NNAWUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-797-9444
Mailing Address - Street 1:3019 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3807
Mailing Address - Country:US
Mailing Address - Phone:202-797-9444
Mailing Address - Fax:202-797-9022
Practice Address - Street 1:3019 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3807
Practice Address - Country:US
Practice Address - Phone:202-797-9444
Practice Address - Fax:202-797-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC03-0-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC097055Medicare ID - Type UnspecifiedHOME HEALTH AGENCY