HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION G


Address: 3321 13th Street, Se, Washington, DC 20032
Phone: 2023730940

HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION G (NPI# 1508041880) 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) 1508041880
Entity Type Organization
Organization Name HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION G
Other Organization Name ADULT WOMEN RESIDENTIAL TREATMENT
Practice Address 3321 13th Street, Se
Washington
DC 20032
Mailing Address 335 8th Street, Se
Washington
DC 20003
Practice Telephone 2023730940
Practice Fax Number 2023730818
Mailing Telephone 2025434558
Mailing Fax Number 2025434579
Enumeration Date 2008-01-04
Last Update Date 2012-07-31
Authorized Official Name MS. JANICE M DESSASO (PRESIDENT/CEO)
Authorized Official Telephone 2025434558
Is Organization Subpart Y
Parent Organization Name HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility 037112800 DC Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility 102500RW-023 DC Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Adult Women Residential Treatment Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083899454 Holy Comforter-st. Cyprian Community Action G Substance Abuse Rehabilitation Facility #16 17th Street, Ne, Washington, DC 20002 2008-01-04

Office Location

Street Address 3321 13TH STREET, SE
City WASHINGTON
State DC
Zip Code 20032

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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
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780194076 Samaritan Inns, Inc. Substance Abuse Rehabilitation Facility 1422 Harvard St Nw, Washington, DC 20009-4610 2017-10-02
1417387358 Uplifting Sisters Substance Abuse Rehabilitation Facility 1516 K St Se # 204, Washington, DC 20003-3239 2013-11-13
1134483464 Second Genesis Inc Substance Abuse Rehabilitation Facility 1320 Harvard St Nw, Washington, DC 20009-4904 2012-07-02
1962793794 Pilgrim Rest Baptist Therapeutic Services, Inc Substance Abuse Rehabilitation Facility 4601 Sheriff Rd Ne, Washington, DC 20019-3704 2011-04-27
1437455516 Samaritan Inns, Inc. Substance Abuse Rehabilitation Facility 2523 14th St Nw, Washington, DC 20009-6952 2011-02-07
1346427630 Neighbors Consejo Substance Abuse Rehabilitation Facility 3118 16th St Nw, Washington, DC 20010-3301 2008-01-29
1215113097 Holy Comforter-st. Cyprian Community Action Group Substance Abuse Rehabilitation Facility 3323 13th St Se, Washington, DC 20032-4533 2008-01-11
1083899454 Holy Comforter-st. Cyprian Community Action G Substance Abuse Rehabilitation Facility #16 17th Street, Ne, Washington, DC 20002 2008-01-04
1497930796 Greater Mt. Calvary Holy Church Substance Abuse Rehabilitation Facility 802 Rhode Island Ave Ne, Washington, DC 20018-1732 2008-01-04
1821273111 Holy Comforter-st. Cyprian Community Action Group Substance Abuse Rehabilitation Facility 1238 Pennsylvania Ave Se, Washington, DC 20003-2226 2008-01-04
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City WASHINGTON
Zip Code 20032

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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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