Provider Demographics
NPI:1851953079
Name:THE ALEXANDER ENTERPRISE, LLC
Entity Type:Organization
Organization Name:THE ALEXANDER ENTERPRISE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHARNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:202-704-1632
Mailing Address - Street 1:5022 ILLINOIS AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3930
Mailing Address - Country:US
Mailing Address - Phone:202-869-4496
Mailing Address - Fax:
Practice Address - Street 1:5022 ILLINOIS AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3930
Practice Address - Country:US
Practice Address - Phone:202-869-4496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health