Provider Demographics
NPI:1316487556
Name:E & E HEALTH SERVICES
Entity type:Organization
Organization Name:E & E HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAIMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-404-0935
Mailing Address - Street 1:6731 NEW HAMPSHIRE AVE
Mailing Address - Street 2:406
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4863
Mailing Address - Country:US
Mailing Address - Phone:301-404-0935
Mailing Address - Fax:
Practice Address - Street 1:6731 NEW HAMPSHIRE AVE
Practice Address - Street 2:406
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4863
Practice Address - Country:US
Practice Address - Phone:301-404-0935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
DCNOT YET253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1861730608OtherHOME HEALTH