MY BROTHER'S KEEPER TRANSITIONAL LIVING SERVICES, LLC (NPI# 1639671910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639671910 |
| Entity Type | Organization |
| Organization Name | MY BROTHER'S KEEPER TRANSITIONAL LIVING SERVICES, LLC |
| Practice Address |
1390 Kenyon St Nw Apt 614 Washington DC 20010-7227 |
| Practice Telephone | 2022465568 |
| Mailing Telephone | 2022465568 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | EBONY WASHINGTON (DIRECTOR) |
| Authorized Official Telephone | 2023866311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1390 KENYON ST NW APT 614 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-7227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736747 | Jennifer Virgo Therapy, Pllc | Clinic/Center | 3902 14th St Nw Apt 621, Washington, DC 20011-5444 | 2020-09-28 |
| 1730799974 | Keisha Nicole Keith | Clinic/Center | 2625 Patricia Roberts Harris Pl Ne, Washington, DC 20018-1614 | 2020-08-03 |
| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1023634573 | Cqc Healthcare, LLC | Clinic/Center | 1100 New Jersey Ave Se # 2145, Washington, DC 20003-3302 | 2020-06-21 |
| 1083237457 | Unity Health Care, Inc. | Clinic/Center | 1501 Rhode Island Ave Nw, Washington, DC 20005-5504 | 2020-05-20 |
| 1477174803 | Unity Health Care, Inc. | Clinic/Center | 10 I St Sw, Washington, DC 20024-4266 | 2020-04-27 |
| 1922627546 | Unity Health Care, Inc | Clinic/Center | 2305 New York Ave Ne, Washington, DC 20002-1905 | 2020-04-14 |
| 1033738653 | Unity Health Care, Inc | Clinic/Center | 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 | 2020-04-14 |
| 1376162040 | Unity Health Care, Inc. | Clinic/Center | 1615 New York Ave Ne, Washington, DC 20002-1725 | 2020-04-13 |
| 1518427970 | Patrons Healthcare Services | Clinic/Center | 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 | 2019-03-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on MY BROTHER'S KEEPER TRANSITIONAL LIVING SERVICES, 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.