ICS (NPI# 1194128819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194128819 |
| Entity Type | Organization |
| Organization Name | ICS |
| Practice Address |
1234 Southern Ave Se Apt 301 Washington DC 20032-4620 |
| Practice Telephone | 2404674139 |
| Mailing Telephone | 2404674139 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | CLOTILDE ANDJONGO BITOMO (HHA) |
| Authorized Official Telephone | 2404674139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
HHA10972 | DC | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ICS | 24365 Murphy Rd, Calhan, CO 80808 |
| Oregon Corporations, Companies and Business Names | ICS | 1100 Liberty St S Suite 4, Salem, OR 97302 |
| System for Award Management (SAM) Entities | ICS | 19050 Fuller Heights Rd Apt 106, Triangle, VA 22172-2142 |
| Vermont Business Registrations | ICS | Pob 246, Wardsboro, VT 05355 |
| Ohio Business Entities | ICS - CARGO CLEAN, LLC | 415 North El Camino Real, Suite B, San Clemente, CA 92672 |
| Virginia Business Entities | ICS - Insurance Agency Inc. | 4 Glyndon Dr Ste 2f, Reisterstown, Maryland 21136-2002 |
| New York State Corporations | ICS - INTERNATIONAL CRYPTO SYSTEMS CORP. | 418 Broadway Ste N, Albany, Ny 12207 |
| Virginia Business Entities | ICS - TSPi UNITED Inc. | 201 Loudoun Street Se, Leesburg, Virginia 20175 |
| System for Award Management (SAM) Entities | ICS - TSPI UNITED, INC. | 11710 Plaza America Dr Ste 812, Reston, VA 20190-4794 |
| New York State Corporations | ICS 101 BLOOR LTD. | 110 East 59th Street, New York, Ny 10022 |
| Street Address |
1234 SOUTHERN AVE SE APT 301 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427503812 | Christopher Nkamngo | Home Health Aide | 1234 Southern Ave Se Apt 301, Washington, DC 20032-4620 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912231846 | E-von Healthcare Services Inc | Assisted Living Facility | 617 Roxboro Pl Nw, Washington, DC 20011-1253 | 2009-09-24 |
| 1831351022 | Mt&g Enterprise, Inc | Assisted Living Facility | 201 20th St Ne, Washington, DC 20002-6721 | 2008-06-28 |
| 1437378155 | Tiffany Healthcare, Inc. | Assisted Living Facility | 3130 Market Street Ext, Washington, NC 27889-8127 | 2007-04-24 |
| 1205111747 | Pathways of Sw Pa, Inc | Assisted Living Facility | 190 N Main St, Washington, PA 15301-4349 | 2011-10-17 |
| 1922283407 | Westview II | Assisted Living Facility | 3200 12th St Ne, Washington, DC 20017-4003 | 2008-01-03 |
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on ICS.
| 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.