Provider Demographics
NPI:1588346050
Name:CRITICAL INTERVENTION
Entity type:Organization
Organization Name:CRITICAL INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHENETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:INMON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:917-254-7863
Mailing Address - Street 1:10770 COLUMBIA PIKE # 300W20
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4402
Mailing Address - Country:US
Mailing Address - Phone:240-242-7701
Mailing Address - Fax:
Practice Address - Street 1:10770 COLUMBIA PIKE # 300W20
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4402
Practice Address - Country:US
Practice Address - Phone:240-242-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health