Provider Demographics
NPI: | 1659005312 |
---|---|
Name: | EMC HOME HEALTHCARE CORP |
Entity type: | Organization |
Organization Name: | EMC HOME HEALTHCARE CORP |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER, ADMIN |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MARKUS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MCEADDY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 202-826-1115 |
Mailing Address - Street 1: | 9500 MEDICAL CENTER DR STE 230I |
Mailing Address - Street 2: | |
Mailing Address - City: | UPPER MARLBORO |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20774-3707 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 301-532-9613 |
Mailing Address - Fax: | 240-264-5909 |
Practice Address - Street 1: | 9500 MEDICAL CENTER DR STE 230I |
Practice Address - Street 2: | |
Practice Address - City: | UPPER MARLBORO |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20774-3707 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-532-9613 |
Practice Address - Fax: | 240-264-5909 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-07-10 |
Last Update Date: | 2024-12-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | |
Yes | 251E00000X | Agencies | Home Health |