Desi'S Way LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DESI'S WAY LLC

Practice address

2609 N 18TH St
Philadelphia, PA 19132-3814

Phone

(201) 312-7631

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Waymon Jones

Title

Manager/Owner

Phone

(201) 312-7631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1033801287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323814",
            "telephone_number": "201-312-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323814",
            "telephone_number": "201-312-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESI'S WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WAYMON",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "201-312-7631"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.