Provider Demographics
NPI:1740699719
Name:GIOVANNI HOME CARE SERVICES
Entity type:Organization
Organization Name:GIOVANNI HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATILDA
Authorized Official - Middle Name:OFORIWAH
Authorized Official - Last Name:ADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-326-6142
Mailing Address - Street 1:1645 E JEFFERSON ST APT T4
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4021
Mailing Address - Country:US
Mailing Address - Phone:240-713-8388
Mailing Address - Fax:
Practice Address - Street 1:1645 E JEFFERSON ST APT T4
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4021
Practice Address - Country:US
Practice Address - Phone:240-713-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15969587251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health