Organization
MGH COMMUNITY HEALTH, INC.
Active
Parent organization
MEDSTAR VNA
Other names
MGH Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAR VNA
Authorized official
MS. TRACI ANDERSON (PRESIDENT)
(301) 931-3100
Entity
Organization
Contact information
Practice address
17735 GEORGIA AVE, STE 010, OLNEY, MD 20832-2276
(301) 570-7400
(301) 570-7420
Mailing address
4061 POWDER MILL RD, SUITE 500, CALVERTON, MD 20705-3149
(301) 931-3100
(301) 931-8580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R1084
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217118
EIN
MD
05
—
472363500
—
MD
01
—
59012601
CAREFIRST BCBS MD
MD
01
—
826
CAREFIRST BCBS
MD
Enumeration date
06/14/2005
Last updated
08/14/2012
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