Provider Demographics
NPI:1558053496
Name:TCHAK'S CARE LLC
Entity Type:Organization
Organization Name:TCHAK'S CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN BRIAN
Authorized Official - Middle Name:TCHAKOA
Authorized Official - Last Name:KAMSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-9908
Mailing Address - Street 1:9899 GOOD LUCK RD APT 11
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3242
Mailing Address - Country:US
Mailing Address - Phone:240-413-9908
Mailing Address - Fax:
Practice Address - Street 1:601 KING ST STE 201
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3151
Practice Address - Country:US
Practice Address - Phone:240-413-9908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care