NPIMap

Organization Active NPI

Professional Healthcare Resources

  • Community Based Hospice Care Agency
  • Washington, DC
National Provider Identifier
1033452115
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
RN1014389 Issued in DC
Legal business name
PROFESSIONAL HEALTHCARE RESOURCES
Practice address
1010 Wisconsin Ave NW
Suite 300
Washington, DC 20007-3603
Phone
(202) 289-1201
Fax
(202) 289-5461
NPI assigned
Mar 27, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Donna L. Pereira, APRN
Title
Palliative Care Nurse Practitioner
Phone
(301) 351-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X RN1014389 DC Primary

Addresses

Primary practice location

1010 Wisconsin Ave NW
Suite 300
Washington, DC 20007-3603

Mailing address

9524 Canonbury SQ
Fairfax, VA 22031-6086
Phone (301) 351-4405

Other identifiers 1

IdentifierTypeStateIssuer
RN1014389MedicaidDC

National Provider Directory

National Provider Directory

Locations

1010 Wisconsin Ave NW
Ste 300
Washington, DC 20007
Phone (202) 289-1201

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1033452115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 CANONBURY SQ",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220316086",
            "telephone_number": "301-351-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073603",
            "telephone_number": "202-289-1201",
            "fax_number": "202-289-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTHCARE RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PALLIATIVE CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-351-4405",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "DC",
            "license": "RN1014389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN1014389",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.