PARADISE AT GEORGIA AVE, LLC (NPI# 1174082549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174082549 |
| Entity Type | Organization |
| Organization Name | PARADISE AT GEORGIA AVE, LLC |
| Practice Address |
5100 Georgia Ave Nw Washington DC 20011-3958 |
| Practice Telephone | 2027748553 |
| Mailing Telephone | 2027748553 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | MR. LEONARD WASHINGTON SMITH JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2028804577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Maple Heights Senior Living | Doing Business As Name - Organization |
| Street Address |
5100 GEORGIA AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415041 | Bra Health Care Services, LLC | Assisted Living Facility | 900 K St Ne, Washington, DC 20002-3724 | 2020-01-02 |
| 1093282782 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 1078 N Coral Canyon Blvd, Washington, UT 84780-2777 | 2018-10-31 |
| 1386164705 | Eckington House Mental Health Service LLC | Assisted Living Facility | 3030 30th St Se, Washington, DC 20020-1674 | 2017-06-27 |
| 1831596782 | Nissi Homes LLP | Assisted Living Facility | 5915 Dix St Ne, Washington, DC 20019-6968 | 2014-11-20 |
| 1366850885 | Iyeshia Anderson | Assisted Living Facility | 500 44th St Ne, Washington, DC 20019-8044 | 2014-07-28 |
| 1851729529 | 2905 Alf, LLC | Assisted Living Facility | 2905 11th St Nw, Washington, DC 20001-3903 | 2013-10-16 |
| 1265865349 | Assisted Living Centers of America,llc | Assisted Living Facility | 1717 Pennsylvania Ave Nw Ste 1025, Washington, DC 20006-3951 | 2013-08-13 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1558659029 | Victorian Manor of Washington, Inc | Assisted Living Facility | 2800 Rabbit Trail Dr, Washington, MO 63090-6737 | 2011-07-18 |
| 1457641532 | Agape Health Services | Assisted Living Facility | 4904 7th St Ne, Washington, DC 20017-2300 | 2011-04-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20011 |
Please comment or provide details below to improve the information on PARADISE AT GEORGIA AVE, LLC.
| 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.