Provider Demographics
NPI:1265695720
Name:JOYFUL HEALTHCARE INC.
Entity type:Organization
Organization Name:JOYFUL HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:AMUH
Authorized Official - Last Name:MUBANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-273-3367
Mailing Address - Street 1:6495 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3245
Mailing Address - Country:US
Mailing Address - Phone:301-273-3367
Mailing Address - Fax:301-273-3368
Practice Address - Street 1:6495 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3245
Practice Address - Country:US
Practice Address - Phone:301-273-3367
Practice Address - Fax:301-273-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-04
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDCJM-2008-HC-0001-24320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039701600Medicaid
DCDCJM-2008-8C-0001-24OtherHOME CARE AGREEMENT