Provider Demographics
NPI:1891250155
Name:NP HOME ASSESS
Entity Type:Organization
Organization Name:NP HOME ASSESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:NPC
Authorized Official - Phone:917-520-6205
Mailing Address - Street 1:891I ROCKVILLE PIKE STE 126
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1229
Mailing Address - Country:US
Mailing Address - Phone:855-921-0500
Mailing Address - Fax:
Practice Address - Street 1:891I ROCKVILLE PIKE STE 126
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1229
Practice Address - Country:US
Practice Address - Phone:855-921-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty