Provider Demographics
NPI:1386921591
Name:HENIK TECHNOLOGIES AND GENERAL SERVICES, LLC
Entity type:Organization
Organization Name:HENIK TECHNOLOGIES AND GENERAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:HYGINUS
Authorized Official - Last Name:NWOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-370-8544
Mailing Address - Street 1:3104 BEETHOVEN WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6860
Mailing Address - Country:US
Mailing Address - Phone:240-370-8544
Mailing Address - Fax:
Practice Address - Street 1:3104 BEETHOVEN WAY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6860
Practice Address - Country:US
Practice Address - Phone:240-370-8544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1002576251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies