Provider Demographics
NPI:1144702010
Name:CHARITY HEARTS HEALTHCARE INC
Entity type:Organization
Organization Name:CHARITY HEARTS HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:CHIKU
Authorized Official - Last Name:KANKHWENDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-404-0001
Mailing Address - Street 1:3504 SOFTWOOD TER
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2200
Mailing Address - Country:US
Mailing Address - Phone:301-404-0001
Mailing Address - Fax:
Practice Address - Street 1:3504 SOFTWOOD TER
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2200
Practice Address - Country:US
Practice Address - Phone:301-404-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities