SPECIALTY HOME CARE LLC NPI 1619400058

NPI Information

  • NPI: 1619400058
  • Provider Name: SPECIALTY HOME CARE LLC
  • Classification: Respite Care - 385H00000X
  • Entity Type: Organization
  • CLIA Number: 09D2129806
  • Address: 6856 EASTERN AVE NW STE 376
    WASHINGTON, DC
    ZIP 20012
  • Phone: (202) 829-1719

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NPI Details

SPECIALTY HOME CARE LLC is a respite care in Washington, DC. SPECIALTY HOME CARE LLC NPI is 1619400058. The provider is registered as an organization entity type.

The provider's business location address is:

6856 EASTERN AVE NW STE 376
WASHINGTON, DC
ZIP 20012-112
Phone: (202) 829-1719
Fax: (202) 722-4719

The provider's authorized official is Elias G Demoz .
The authorized official title is Ceo and has the following contact phone number (202) 829-1719.

The CLIA number assigned to this NPI record is 09D2129806 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 3/21/2022.

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
1251E00000XHome HealthDISTRICT OF COLUMBIANo
2385H00000XRespite CareYes

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: 11/21/2025

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