JAVAN ANTI AGING AND WELLNESS INSTITUTE


Address: 1626 U St Nw, Washington, DC 20009
Phone: 2028685993

JAVAN ANTI AGING AND WELLNESS INSTITUTE (NPI# 1124596317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124596317
Entity Type Organization
Organization Name JAVAN ANTI AGING AND WELLNESS INSTITUTE
Practice Address 1626 U St Nw
Washington
DC 20009
Mailing Address 1626 U St Nw
Washington
DC 20009-6210
Practice Telephone 2028685993
Mailing Telephone 2028685993
Enumeration Date 2018-11-06
Last Update Date 2018-11-28
Authorized Official Name CORINNE A PARENT (IV INFUSION THERAPY)
Authorized Official Telephone 3015095557
Authorized Official Credential PHLEBOTOMIST
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD LICENSE D0076873 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4201 Northview Dr Ste 104, Bowie, MD 207162604 4108004466

Office Location

Street Address 1626 U ST NW
City WASHINGTON
State DC
Zip Code 20009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508225525 A Woman's Place, Inc. Prosthetic/Orthotic Supplier 1626 U St Nw, Washington, DC 20009-6210 2016-02-18

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NPI Name Taxonomy Address Enumeration
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1942728597 Emily Schwaber Speech-Language Pathologist 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 2017-09-05
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1700313707 Salome Fomukong Home Health Aide 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 2017-05-22
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1487195624 Jasmine Thomas Home Health Aide 1440 W St Nw #b1, Washington, DC 20009 2017-03-20
1760923361 Natasha Khawaja Family Medicine Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 2017-03-15
1134672520 Margaret Ache Tata Tanwani Home Health Aide 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 2016-08-02
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427656941 Rosemarie Filart Md Mph Pllc Clinic/Center 1140 Varnum St Ne Ste 202, Washington, DC 20017-2153 2020-10-16
1710513254 Occupational Health Centers of Washington Dc Clinic/Center 2237 33rd St Ne, Washington, DC 20018-1505 2020-03-17
1053884858 Roots Acupuncture and Healing LLC Clinic/Center 2000 P St Nw Ste 620, Washington, DC 20036-6920 2019-01-04
1326510538 Flawless Beauty Clinic/Center 3000 Connecticut Ave Nw Ste 135, Washington, DC 20008-2533 2018-12-28
1538631874 Rehabilitation Center of Washington, D.c., Inc. Clinic/Center 4201 Connecticut Ave Nw Ste 406, Washington, DC 20008-1166 2018-12-27
1760903454 George Washington University Clinic/Center 800 21st St Nw Fl Colonial, Washington, DC 20052-0028 2017-07-03
1033659503 Northstar Family Dentistry Pllc Clinic/Center 64845 Van Dyke Rd Ste 3, Washington, MI 48095-2836 2017-03-03
1568904043 Washington Center for Weight Management and Research Clinic/Center 1828 18th St Nw Unit B, Washington, DC 20009-5576 2016-11-15
1215485396 La Clinica Del Pueblo Clinic/Center 3166 Mount Pleasant St Nw, Washington, DC 20010 2016-09-16
1376911735 St. Landry Family Healthcare, LLC Clinic/Center 6633 Highway 10, Washington, LA 70589 2015-09-02
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Competitor

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City WASHINGTON
Zip Code 20009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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