Provider Demographics
NPI:1558632539
Name:CLIENT CENTERED HOME HEALTH AGENCY INC.
Entity Type:Organization
Organization Name:CLIENT CENTERED HOME HEALTH AGENCY INC.
Other - Org Name:CLIENT CENTERED HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V P
Authorized Official - Prefix:MS
Authorized Official - First Name:OWOADE
Authorized Official - Middle Name:
Authorized Official - Last Name:IFEKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-306-1460
Mailing Address - Street 1:9012 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2834
Mailing Address - Country:US
Mailing Address - Phone:301-306-1460
Mailing Address - Fax:301-850-1399
Practice Address - Street 1:9012 1ST ST
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2834
Practice Address - Country:US
Practice Address - Phone:301-306-1460
Practice Address - Fax:301-850-1399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care