Provider Demographics
NPI:1588198360
Name:ALL IN HIS HANDS PERSONAL HEALTH CARE
Entity Type:Organization
Organization Name:ALL IN HIS HANDS PERSONAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KYSHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-421-7864
Mailing Address - Street 1:3500 RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2149
Mailing Address - Country:US
Mailing Address - Phone:202-421-7864
Mailing Address - Fax:
Practice Address - Street 1:3500 RANDALL RD
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-2149
Practice Address - Country:US
Practice Address - Phone:202-421-7864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty