JERMON & DIEGO HOMES (NPI# 1366743361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366743361 |
| Entity Type | Organization |
| Organization Name | JERMON & DIEGO HOMES |
| Other Organization Name | MY BROTHERS PLACE |
| Practice Address |
1208 50th Pl Ne Washington DC 20019-4011 |
| Practice Telephone | 8005039702 |
| Practice Fax Number | 2023880729 |
| Mailing Telephone | 8005039702 |
| Mailing Fax Number | 2023880729 |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2010-11-06 |
| Authorized Official Name | MRS. KEVISHA CHEVELLE DREW (OWNER) |
| Authorized Official Telephone | 18005039702 |
| Authorized Official Credential | CNA,EKG,HHA,MEDI |
| Is Organization Subpart | Y |
| Parent Organization Name | 4 HEAVEN'S SAKE HOMECARE & TRANSPORTATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Other Name | Type Code |
|---|---|
| My Brothers Place | Doing Business As Name - Organization |
| Street Address |
1208 50TH PL NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538460530 | 4 Heaven's Sake Homecare & Transportation | Non-emergency Medical Transport (VAN) | 1208 50th Pl Ne, Washington, DC 20019-4011 | 2010-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843714 | Innovative Life Solutions. Inc. | Respite Care | 4954 Astor Pl Se, Washington, DC 20019-6251 | 2015-02-09 |
| 1558631606 | Bayeab Health Care Services,inc | Respite Care | 728 Hamilton St Nw, Washington, DC 20011-4032 | 2012-01-06 |
| 1609197557 | New Focus Human Services | Respite Care | 114 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2010-06-15 |
| 1386960425 | Unity Healthcare Services, Inc. | Respite Care | 2004 Ridgecrest Ct Se Apt 202, Washington, DC 20020-6214 | 2010-04-14 |
| 1982826293 | Malaner Edwards Gallow | Respite Care | 3485 Faubourg Rd, Washington, LA 70589-5512 | 2007-05-03 |
| 1699192799 | Skill Sprout | Respite Care | 97 Eastgate Dr, Washington, IL 61571-9271 | 2014-03-26 |
| City | WASHINGTON |
| Zip Code | 20019 |
Please comment or provide details below to improve the information on JERMON & DIEGO HOMES.
| 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.