Provider Demographics
NPI:1629364187
Name:PATIENT CARE JOBFINDERS
Entity Type:Organization
Organization Name:PATIENT CARE JOBFINDERS
Other - Org Name:PATIENT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:MYMAN
Authorized Official - Middle Name:UGO
Authorized Official - Last Name:ONYEJIAKA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:301-779-3370
Mailing Address - Street 1:6205 KENILWORTH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1207
Mailing Address - Country:US
Mailing Address - Phone:301-779-3370
Mailing Address - Fax:
Practice Address - Street 1:6205 KENILWORTH AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737
Practice Address - Country:US
Practice Address - Phone:301-779-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATIENT CARE JOBFINDERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1180253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD415260300Medicaid
MD488947900Medicaid