NPIMap

Organization Active NPI

DC Health Care, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1033320668
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
HFD03-0286 Issued in DC
Legal business name
DC HEALTH CARE, INC.
Practice address
121 Tuckerman St NE
Washington, DC 20011-1529
Phone
(202) 547-2008
Fax
(202) 547-2331
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gracy Stephen
Title
President
Phone
(202) 547-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X HFD03-0286 DC Primary

Addresses

Primary practice location

121 Tuckerman St NE
Washington, DC 20011-1529

Mailing address

429 Florida Ave NE
Washington, DC 20002-3437
Phone (202) 547-2008

Other identifiers 1

IdentifierTypeStateIssuer
027017800MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 09G254

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DC HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 25, 2016
Last certification
May 9, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
121 Tuckerman Street, NE
Washington, DC 20011

National Provider Directory

National Provider Directory
Tax ID family
DC Health Care Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1033320668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 FLORIDA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023437",
            "telephone_number": "202-547-2008",
            "fax_number": "202-547-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TUCKERMAN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111529",
            "telephone_number": "202-547-2008",
            "fax_number": "202-547-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "GRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-547-2008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "DC",
            "license": "HFD03-0286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027017800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.