Provider Demographics
NPI:1821471186
Name:AUTUMN HEALTHCARE INC.
Entity Type:Organization
Organization Name:AUTUMN HEALTHCARE INC.
Other - Org Name:INTERIM HEALTHCARE MONGOMERY COUNTY MARYLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-985-2321
Mailing Address - Street 1:201 RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2800
Mailing Address - Country:US
Mailing Address - Phone:240-623-0000
Mailing Address - Fax:855-676-2109
Practice Address - Street 1:20 COURTHOUSE SQ
Practice Address - Street 2:UNIT 216
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2336
Practice Address - Country:US
Practice Address - Phone:301-985-2321
Practice Address - Fax:301-985-2322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health