Provider Demographics
NPI:1598449365
Name:HOMSI SENIOR CARE, LLC
Entity Type:Organization
Organization Name:HOMSI SENIOR CARE, LLC
Other - Org Name:HOMSI CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHOUPE HOMSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-675-0590
Mailing Address - Street 1:12309 VILLAGE SQUARE TER APT 201
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1941
Mailing Address - Country:US
Mailing Address - Phone:240-423-9991
Mailing Address - Fax:
Practice Address - Street 1:6701 DEMOCRACY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-7500
Practice Address - Country:US
Practice Address - Phone:800-681-5657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
Yes253Z00000XAgenciesIn Home Supportive Care
No342000000XTransportation ServicesTransportation Network Company