Provider Demographics
NPI:1992189054
Name:IMISS HOMES INC
Entity Type:Organization
Organization Name:IMISS HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALM
Authorized Official - Prefix:MS
Authorized Official - First Name:IFEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-345-5055
Mailing Address - Street 1:5000 SUNNYSIDE AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2327
Mailing Address - Country:US
Mailing Address - Phone:301-931-3235
Mailing Address - Fax:301-931-3236
Practice Address - Street 1:6115 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1017
Practice Address - Country:US
Practice Address - Phone:202-345-5055
Practice Address - Fax:301-931-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAL001639310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility