Provider Demographics
NPI:1306241195
Name:PHILIA HOME CARE
Entity type:Organization
Organization Name:PHILIA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHILIA HOMECARE
Authorized Official - Prefix:
Authorized Official - First Name:KIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-607-2525
Mailing Address - Street 1:4420 CONNECTICUT AVE NW SUITE 202
Mailing Address - Street 2:PHILIA HOME CARE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-8050
Mailing Address - Country:US
Mailing Address - Phone:202-607-2525
Mailing Address - Fax:202-607-2527
Practice Address - Street 1:4420 CONNECTICUT AVE NW SUITE 202
Practice Address - Street 2:PHILIA HOME CARE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-8050
Practice Address - Country:US
Practice Address - Phone:202-607-2525
Practice Address - Fax:202-607-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNR130103 NURSING REF251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health