Provider Demographics
NPI:1528315058
Name:CITI HOMES CARE, INC
Entity type:Organization
Organization Name:CITI HOMES CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-238-9638
Mailing Address - Street 1:1420 N. ST.
Mailing Address - Street 2:SUITE #102
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005
Mailing Address - Country:US
Mailing Address - Phone:202-238-9638
Mailing Address - Fax:202-238-9639
Practice Address - Street 1:1420 N. ST.
Practice Address - Street 2:SUITE #102
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005
Practice Address - Country:US
Practice Address - Phone:202-238-9638
Practice Address - Fax:202-238-9639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0168251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NSA-0168OtherNURSE STAFFING AGENCY