Provider Demographics
NPI:1770338626
Name:THE PROSPECT HOUSE INC
Entity type:Organization
Organization Name:THE PROSPECT HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RASHIDAH
Authorized Official - Middle Name:BINT
Authorized Official - Last Name:BROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-607-9026
Mailing Address - Street 1:810 NEW JERSEY AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5767
Mailing Address - Country:US
Mailing Address - Phone:202-607-9026
Mailing Address - Fax:
Practice Address - Street 1:1403 HOWARD RD SE # A&B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4406
Practice Address - Country:US
Practice Address - Phone:202-607-9026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care