Provider Demographics
NPI:1841834181
Name:SCW HEALTHCARE ENTERPRISES
Entity type:Organization
Organization Name:SCW HEALTHCARE ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG WHITEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-510-1357
Mailing Address - Street 1:3032 MITCHELLVILLE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1482
Mailing Address - Country:US
Mailing Address - Phone:240-510-1357
Mailing Address - Fax:301-723-7786
Practice Address - Street 1:3032 MITCHELLVILLE RD STE 102
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1482
Practice Address - Country:US
Practice Address - Phone:240-510-1357
Practice Address - Fax:301-723-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care