Provider Demographics
NPI:1104272475
Name:ST. HELENS HOMES INC.
Entity type:Organization
Organization Name:ST. HELENS HOMES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:240-441-0535
Mailing Address - Street 1:1425 K ST NW
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3500
Mailing Address - Country:US
Mailing Address - Phone:202-587-5754
Mailing Address - Fax:202-587-3610
Practice Address - Street 1:1425 K ST NW
Practice Address - Street 2:SUITE 350
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3500
Practice Address - Country:US
Practice Address - Phone:202-587-5754
Practice Address - Fax:202-587-3610
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. HELENS HOMES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC040179500Medicaid