Provider Demographics
NPI:1366920050
Name:ROBINSON, SAVONNA CLECIA
Entity type:Individual
Prefix:MISS
First Name:SAVONNA
Middle Name:CLECIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAPITAL HOME HEALTH CARE
Mailing Address - Street 2:1820 JEFFERSON STREET
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-299-1109
Mailing Address - Fax:
Practice Address - Street 1:CAPITAL HOME HEALTH CARE
Practice Address - Street 2:1820 JEFFERSON STREET
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-299-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13829374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide