Provider Demographics
NPI:1255775995
Name:COMMUNITY CARE
Entity type:Organization
Organization Name:COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTIVE NURSING
Authorized Official - Prefix:
Authorized Official - First Name:LINZEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-545-5040
Mailing Address - Street 1:602 MORTON ST NW
Mailing Address - Street 2:21
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2542
Mailing Address - Country:US
Mailing Address - Phone:202-709-2238
Mailing Address - Fax:
Practice Address - Street 1:602 MORTON ST NW
Practice Address - Street 2:21
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2542
Practice Address - Country:US
Practice Address - Phone:202-709-2238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC139354251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health