Provider Demographics
NPI:1689785347
Name:BELTWAY NURSING SERVICES LLC
Entity Type:Organization
Organization Name:BELTWAY NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:TOMORI
Authorized Official - Last Name:AJIBOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-541-9500
Mailing Address - Street 1:7412 GEORGIA AVE NW
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1754
Mailing Address - Country:US
Mailing Address - Phone:202-541-9500
Mailing Address - Fax:
Practice Address - Street 1:7412 GEORGIA AVE NW
Practice Address - Street 2:SUITE # 3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1754
Practice Address - Country:US
Practice Address - Phone:202-541-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCON 0305251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health