Provider Demographics
NPI:1811696164
Name:CONGRESSIONAL HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:CONGRESSIONAL HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:DEVALA
Authorized Official - Last Name:MUSI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:240-755-2443
Mailing Address - Street 1:6301 IVY LN STE 310
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-6366
Mailing Address - Country:US
Mailing Address - Phone:240-755-2443
Mailing Address - Fax:
Practice Address - Street 1:6301 IVY LN STE 310
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-6366
Practice Address - Country:US
Practice Address - Phone:240-755-2443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health