Provider Demographics
NPI:1144268004
Name:COMMUNITY CARE NURSING SERVICES OF DC
Entity type:Organization
Organization Name:COMMUNITY CARE NURSING SERVICES OF DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:202-545-5040
Mailing Address - Street 1:6031 KANSAS AVE NW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1566
Mailing Address - Country:US
Mailing Address - Phone:202-545-5040
Mailing Address - Fax:202-446-0866
Practice Address - Street 1:6031 KANSAS AVE NW
Practice Address - Street 2:SUITE 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1566
Practice Address - Country:US
Practice Address - Phone:202-545-5040
Practice Address - Fax:202-545-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC04-0-8251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039730800Medicaid
DC09-7068Medicare PIN