Provider Demographics
NPI:1649747338
Name:CMCC HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:CMCC HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AFUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-1581
Mailing Address - Street 1:604 VENICE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2077
Mailing Address - Country:US
Mailing Address - Phone:301-680-7978
Mailing Address - Fax:
Practice Address - Street 1:604 VENICE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2077
Practice Address - Country:US
Practice Address - Phone:301-680-7978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care