Provider Demographics
NPI:1396537643
Name:COURTESY HEALTHCARE SERVICES
Entity type:Organization
Organization Name:COURTESY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MBAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-428-2398
Mailing Address - Street 1:600 MASSACHUSETTS AVE NW STE 210
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5358
Mailing Address - Country:US
Mailing Address - Phone:571-428-2398
Mailing Address - Fax:571-428-2399
Practice Address - Street 1:600 MASSACHUSETTS AVE NW STE 210
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5358
Practice Address - Country:US
Practice Address - Phone:571-428-2398
Practice Address - Fax:571-428-2399
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COURTESY HEALTHCARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty