Provider Demographics
NPI:1154741775
Name:CARENE HEALTH CARE SERVICES
Entity type:Organization
Organization Name:CARENE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:AZIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-254-3016
Mailing Address - Street 1:6323 GEORGIA AVE NW STE 107
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1101
Mailing Address - Country:US
Mailing Address - Phone:202-621-7420
Mailing Address - Fax:202-621-7422
Practice Address - Street 1:6323 GEORGIA AVE NW STE 107
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1101
Practice Address - Country:US
Practice Address - Phone:202-621-7420
Practice Address - Fax:202-621-7422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0169251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care