Provider Demographics
NPI:1629784079
Name:SAINT ANNE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:SAINT ANNE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:TABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-503-0967
Mailing Address - Street 1:405 WOONSOCKETT LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5775
Mailing Address - Country:US
Mailing Address - Phone:301-503-0967
Mailing Address - Fax:
Practice Address - Street 1:1629 K ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1631
Practice Address - Country:US
Practice Address - Phone:240-595-9479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT-162-067-574-482Medicaid
MDT-162-067-574-482OtherDEPT OF MOTOR VEHICLES