Provider Demographics
NPI:1992134720
Name:LUMEN CHRISTI
Entity type:Organization
Organization Name:LUMEN CHRISTI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AIDE
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:NKWENTI
Authorized Official - Last Name:ASANJI
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:240-595-7522
Mailing Address - Street 1:7763 RIVERDALE RD APT 103
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3927
Mailing Address - Country:US
Mailing Address - Phone:240-595-7522
Mailing Address - Fax:
Practice Address - Street 1:7763 RIVERDALE RD APT 103
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3927
Practice Address - Country:US
Practice Address - Phone:240-595-7522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA9090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health