Provider Demographics
NPI:1508561150
Name:HOME AWAY FROM HOME THE ROBINSON FOUNDATION
Entity Type:Organization
Organization Name:HOME AWAY FROM HOME THE ROBINSON FOUNDATION
Other - Org Name:HOME AWAY FROM HOME: THE ROBINSON FOUNDATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-607-5479
Mailing Address - Street 1:4801 KENMORE AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1103
Mailing Address - Country:US
Mailing Address - Phone:202-607-5479
Mailing Address - Fax:571-312-3179
Practice Address - Street 1:4801 KENMORE AVE STE 114
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1103
Practice Address - Country:US
Practice Address - Phone:202-607-5479
Practice Address - Fax:571-312-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle