Provider Demographics
NPI:1386991594
Name:JAMES, JOSEPH (HOME HEALTH AIDE)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5824 EASTERN AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2721
Mailing Address - Country:US
Mailing Address - Phone:253-283-7699
Mailing Address - Fax:
Practice Address - Street 1:5824 EASTERN AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2721
Practice Address - Country:US
Practice Address - Phone:253-283-7699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide