Provider Demographics
NPI:1194049544
Name:PLEASANT HEALTH SERVICES INC
Entity type:Organization
Organization Name:PLEASANT HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYED
Authorized Official - Middle Name:G
Authorized Official - Last Name:HADDAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-460-6372
Mailing Address - Street 1:20 LONG GREEN CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2043
Mailing Address - Country:US
Mailing Address - Phone:301-460-6372
Mailing Address - Fax:301-460-1551
Practice Address - Street 1:4915 AUBURN AVE
Practice Address - Street 2:C/O DR. KALDUN NOSSULI, SUITE 306
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2636
Practice Address - Country:US
Practice Address - Phone:301-460-6372
Practice Address - Fax:301-460-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No171W00000XOther Service ProvidersContractorGroup - Single Specialty