IMMACULATE HEALTH CARE SERVICESINC NPI 1598799124

NPI Information

NPI: 1598799124
Provider Name: IMMACULATE HEALTH CARE SERVICES,INC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
2512 24TH ST NE
WASHINGTON, DC
ZIP 20018
Phone: (202) 832-8340
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IMMACULATE HEALTH CARE SERVICES,INC is a respite care in Washington, DC. IMMACULATE HEALTH CARE SERVICES,INC NPI is 1598799124. The provider is registered as an organization entity type.

The provider's business location address is:

2512 24TH ST NE
WASHINGTON, DC
ZIP 20018
Phone: (202) 832-8340
Fax: (202) 832-8341

The provider's authorized official is Rosemarie Sesay .
The authorized official title is Administration and has the following contact phone number (202) 832-8340.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		-64001387	DISTRICT OF COLUMBIA	No
2	385H00000X	Respite Care			DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	035810300	MEDICAID	DISTRICT OF COLUMBIA
2	035997600	MEDICAID	DISTRICT OF COLUMBIA
3	036889400	MEDICAID	DISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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