Provider Demographics
NPI:1699583104
Name:TCHANMENI HEALTH SERVICES, INC
Entity type:Organization
Organization Name:TCHANMENI HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GROMIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHANMENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-559-8801
Mailing Address - Street 1:22134 CABIN BRANCH AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-3407
Mailing Address - Country:US
Mailing Address - Phone:240-559-8801
Mailing Address - Fax:
Practice Address - Street 1:10707 SPOTSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-2682
Practice Address - Country:US
Practice Address - Phone:240-559-8801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care