1043457641 NPI number — A NATURAL HOME, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043457641 NPI number — A NATURAL HOME, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A NATURAL HOME, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043457641
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7406 14TH ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20012-1502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-731-0235
Provider Business Mailing Address Fax Number:
202-318-8852

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 17TH ST NW
Provider Second Line Business Practice Location Address:
SUITE 1000
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036-5503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-731-0235
Provider Business Practice Location Address Fax Number:
202-318-8852
Provider Enumeration Date:
01/19/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHESS
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
P
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
202-731-0235

Provider Taxonomy Codes

  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)