Provider Demographics
NPI: | 1659606119 |
---|---|
Name: | TRUSTWORTHY HEALTHCARE SERVICES, LLC |
Entity Type: | Organization |
Organization Name: | TRUSTWORTHY HEALTHCARE SERVICES, LLC |
Other - Org Name: | TRUSTWORTHY HEALTHCARE RESOURCES, INC |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | M. |
Authorized Official - Middle Name: | GRACE |
Authorized Official - Last Name: | BASSEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 301-502-7331 |
Mailing Address - Street 1: | 12014 BENJAMIN ST |
Mailing Address - Street 2: | |
Mailing Address - City: | BELTSVILLE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20705-1167 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 721 OGLETHORPE ST NW |
Practice Address - Street 2: | |
Practice Address - City: | WASHINGTON |
Practice Address - State: | DC |
Practice Address - Zip Code: | 20011-2021 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-502-7331 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-10-16 |
Last Update Date: | 2013-01-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 251J00000X | Agencies | Nursing Care | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | ||
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | Group - Multi-Specialty | |
No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child | Group - Multi-Specialty |