PBJ HEALTHCARE SERVICES LLC


Address: 2205 16th St Se, Washington, DC 20020-4333
Phone: 2404252245

PBJ HEALTHCARE SERVICES LLC (NPI# 1740801638) 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) 1740801638
Entity Type Organization
Organization Name PBJ HEALTHCARE SERVICES LLC
Practice Address 2205 16th St Se
Washington
DC 20020-4333
Practice Telephone 2404252245
Mailing Telephone 2404252245
Enumeration Date 2020-05-01
Last Update Date 2020-05-01
Authorized Official Name PETRA BIH JUA (CEO)
Authorized Official Telephone 3013708049
Authorized Official Credential BSN RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 251E00000X Home Health Agencies
N 251J00000X Nursing Care Agencies
N 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities
N 253Z00000X In Home Supportive Care Agencies
N 385H00000X Respite Care Respite Care Facility
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
N 385HR2065X Respite Care
Specialization: Respite Care, Physical Disabilities, Child
Respite Care Facility
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 2205 16TH ST SE
City WASHINGTON
State DC
Zip Code 20020-4333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003451873 Petra Jua Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2205 16th St Se, Washington, DC 20020-4333 2019-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043834294 Monique Holland Community Health Worker 3001 O Street Se, Washington, DC 20020 2020-06-03
1215566708 Ryan Wright Counselor Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 2020-04-06
1316581002 Kamara King Hospitalist 2754 Bruce Pl Se, Washington, DC 20020 2019-11-05
1639720394 Denise Anderson Technician 2401 Bryan Pl S.e, Washington, DC 20020 2019-09-24
1629628664 Rayniece Ann Johnson Technician 1641 W.st Se #303, Washington, DC 20020 2019-09-11
1780245787 Connie Kitchings Technician 2800 Shipley Terrace Se, Washington, DC 20020 2019-06-21
1922560366 Neka Ramsey-lee Counselor Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 2019-04-04
1750843553 Chloe Rebecca Zaitlin Psychologist 2600 Douglass Rd. Se, Washington, DC 20020 2019-04-02
1356814974 Ferris Antwan Alston Technician 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 2019-01-07
1083182471 Aaron Joshua Jones Technician 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 2018-11-05
Find all providers in zip 20020

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982202271 Berkeley House Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 817 Elder St Nw, Washington, DC 20012-2323 2020-10-09
1003451873 Petra Jua Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2205 16th St Se, Washington, DC 20020-4333 2019-11-15
1396202511 Umbrella Health Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2301 Georgia Ave Nw, Washington, DC 20001-3000 2019-02-24
1184180408 N2 Care Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 61 Washington Square Cir, Washington, NJ 07882-2486 2019-02-11
1871074567 Community Empowerment Opportunities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 64 New York Ave Ne Ste 100, Washington, DC 20002-3400 2018-08-22
1760989917 Innovative Life Solutions Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1703 Frankford St Se, Washington, DC 20020-6309 2018-04-12
1780196915 Empowering Home Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 66 S St Nw, Washington, DC 20001-1128 2017-10-27
1942729694 Human Development Coalition Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 313 Parkland Pl Se, Washington, DC 20032-1601 2017-09-13
1760900633 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Whites Rd, Washington, NJ 07882-3614 2017-08-31
1841718681 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 66 Park Ave Apt G2, Washington, NJ 07882-1847 2017-08-31
Find all providers in WASHINGTON

Competitor

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City WASHINGTON
Zip Code 20020

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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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