PROVIDENCE HEALTHCARE SERVICES, LLC (NPI# 1821559865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821559865 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTHCARE SERVICES, LLC |
| Practice Address |
220 I St Ne Ste 110 Washington DC 20002-4365 |
| Practice Telephone | 2024861894 |
| Mailing Telephone | 2024861894 |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | ADELAIDE ETSE (CFO) |
| Authorized Official Telephone | 3018418907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | DEPARTMENT OF BEHAVIORAL HEALTH | 070220-430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427618255 | Providence Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8009 Gosport Ln, Springfield, VA 22151-2008 | 2019-06-14 |
| Street Address |
220 I ST NE STE 110 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-4365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184955759 | Gospel Rescue Ministries of Washington, Dc, Inc. | Clinic/Center | 810 5th St Nw, Washington, DC 20001-2622 | 2010-01-21 |
| 1740439603 | Second Genesis | Clinic/Center | 4017 Minnesota Ave Ne, Washington, DC 20019-3541 | 2008-09-16 |
| 1548430226 | Federal City Recovery Services | Clinic/Center | 920 Bellevue St Se, Washington, DC 20032-6030 | 2008-03-10 |
| 1740468008 | New Destinaton LLC | Clinic/Center | 1424 Pennsylvania Ave Se, Washington, DC 20003-3029 | 2008-02-08 |
| 1912027715 | Neighbors' Consejo | Clinic/Center | 3118 16th Street Nw, Washington, DC 20010 | 2007-03-29 |
| 1598805335 | Latin American Youth Center | Clinic/Center | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2007-02-08 |
| 1043833783 | District Healthcare Services, LLC | Clinic/Center | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2020-05-28 |
| 1932688314 | Volunteers of America Chesapeake Inc. | Clinic/Center | 508 Kennedy St Nw Fl 2, Washington, DC 20011-3010 | 2018-08-07 |
| 1326468950 | Shona House | Clinic/Center | 920 Bellevue St Se, Washington, DC 20032-6030 | 2014-04-22 |
| 1346472412 | United Planning Organization | Clinic/Center | 1900 Mass Ave Se, Bldg. 13, Washington, DC 20003-2542 | 2009-08-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
Please comment or provide details below to improve the information on PROVIDENCE HEALTHCARE 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.