Professional Healthcare Resources of Washington DC, Inc.
Organization Active NPI Home Health Agency · Washington, DC
NPI 1497879910 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1497879910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC, INC.
- Practice address
- 501 School St SW
Suite 200
Washington, DC 20024 - Phone
- (202) 955-8355
- Fax
- (202) 289-5461
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Aneil Nayak
- Title
- Project Management Director
- Phone
- (703) 752-8732
Owners & managing parties with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Facilities with the same owner 7
Practitioners 9
-
Joellen Lane, RN
-
Nakia Mayo, HHA
-
Yasmin Schorr, RN
Affiliated clinicians 24
-
Mariam Hassan Ayub, M.D.
-
April Barbour, MD
-
Guy Vin Chang, M.D.
-
Gilbert E Daniel, MD
-
Michael John Grady, M.D.
-
Alka Gupta, M.D.
-
Robert L. Jayes Jr., M.D.
-
Brooke Christine Acarregui Lehmann, DNP, AGPCNP-BC
-
Dionne Gay Lynch, MD
-
Sylvia Renee Medley, M.D.
-
Paul S. Rhodes, M.D.
-
Rehan Talibi, DO
-
Jennifer Tran, M.D.
-
Karl E De Jonge, MD
-
Sheree Saunders, M.D.
-
Bernadette Beleho Woueko, RN, MSN, FNP-C
-
Nadia Yusuf, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Professional Healthcare
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Apr 21, 2000
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Home health agency certification: CCN 097049
- Legal name
- PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 21, 2000
- Last certification
- Aug 9, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jun 24, 1999 in DC
- Enrollment address
- 501 School St SW
Ste 200
Washington, DC 20024-2774
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| D'Andrea Brown |
Operational/Managerial Control |
Oct 30, 2023 | |
| Professional Healthcare Resources, Inc. |
Operational/Managerial Control | Apr 21, 2000 | |
| De Cesare GST Non-Grantor Gift Trust |
5% Or Greater Indirect Ownership Interest | Feb 29, 2008 | 52.4% |
| Professional Healthcare Management, Inc |
Operational/Managerial Control | Jan 1, 2008 | |
| Ronald Decesare |
5% Or Greater Indirect Ownership Interest | Jan 5, 2000 | 45% |
| PHR Holdings, Inc. |
5% Or Greater Direct Ownership Interest | Jan 1, 2004 | 100% |
| Eileen Decesare |
Corporate Officer |
Jun 24, 1999 | |
| Corporate Director |
Sep 30, 2004 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040823001112 | DC | Part a Provider - Home Health Agency | 3678547981 |
1 other NPI on this enrollment Practice locations: Washington, DC |
National Provider Directory
- Tax ID family
- Professional Healthcare Resources of Washington DC Inc
Locations
1010 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 550-3346
501 School St SW
Ste 200
Washington, DC 20024
Phone (202) 955-8355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
501 School St SW
Suite 200
Washington, DC 20024
Mailing address
7619 Little River Tpke
Suite 600
Annandale, VA 22003-2625
Phone (703) 752-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027091500 | Medicaid | DC | |
| 027092300 | Medicaid | DC |
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All providers in Washington, DC · Home Health Agency in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.