Provider Demographics
NPI:1487305454
Name:GEORGES HEALTHCARE
Entity type:Organization
Organization Name:GEORGES HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IJANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-659-3393
Mailing Address - Street 1:1420 N ST NW STE 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2876
Mailing Address - Country:US
Mailing Address - Phone:240-659-3393
Mailing Address - Fax:
Practice Address - Street 1:1420 N ST NW STE 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2876
Practice Address - Country:US
Practice Address - Phone:240-659-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty