Provider Demographics
NPI:1811216757
Name:EARLY HEALTH CARE GIVER, INC
Entity Type:Organization
Organization Name:EARLY HEALTH CARE GIVER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHERE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-855-7976
Mailing Address - Street 1:6480 NEW HAMPSHIRE AVE
Mailing Address - Street 2:301
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4716
Mailing Address - Country:US
Mailing Address - Phone:240-855-7976
Mailing Address - Fax:301-270-0344
Practice Address - Street 1:6480 NEW HAMPSHIRE AVE
Practice Address - Street 2:301
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4716
Practice Address - Country:US
Practice Address - Phone:240-855-7976
Practice Address - Fax:301-270-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2143251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD510159000Medicaid
MD#7976020-00Medicaid