Provider Demographics
NPI:1922401561
Name:CHARITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CHARITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:DESSAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-519-0429
Mailing Address - Street 1:4108 CANTERBURY WAY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-3409
Mailing Address - Country:US
Mailing Address - Phone:404-519-0429
Mailing Address - Fax:
Practice Address - Street 1:4108 CANTERBURY WAY
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-3409
Practice Address - Country:US
Practice Address - Phone:404-519-0429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health