Provider Demographics
NPI:1831285303
Name:HOWARD UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:HOWARD UNIVERSITY HOSPITAL
Other - Org Name:CAPITAL VIEW SUB ACUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL DIRECTOR, PLANNING
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-865-6250
Mailing Address - Street 1:2041 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-6228
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-6228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0911956600Medicaid
DC029-845-600Medicaid
VA009810251Medicaid
NC9900003Medicaid
GA00281608XMedicaid
SC145357Medicaid
MD005205100Medicaid
OH0376123Medicaid
NY2663096Medicaid
FL0911956600Medicaid