Provider Demographics
NPI:1124027404
Name:THE WASHINGTON HOME
Entity type:Organization
Organization Name:THE WASHINGTON HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SIHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRAOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-560-6075
Mailing Address - Street 1:3720 UPTON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2299
Mailing Address - Country:US
Mailing Address - Phone:202-895-0192
Mailing Address - Fax:202-895-0190
Practice Address - Street 1:3720 UPTON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2299
Practice Address - Country:US
Practice Address - Phone:301-560-6075
Practice Address - Fax:301-560-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD020005314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC029838300Medicaid
DC5179670OtherAETNA PPO
DC269321OtherOPTIMUM CHOICE
DC004372OtherHELIXCARE FAMILY CHOICE
DC119655OtherJOHNS HOPKINS HEALTHCARE
DC5179670OtherAETNA HMO
DC53883OtherAMERIGROUP
DCHV7OtherCAREFIRST BCBS ALL AREAS
DC029838300Medicaid
DCHV7OtherCAREFIRST BCBS ALL AREAS
DC5179670OtherAETNA HMO