Providence Residential Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVIDENCE RESIDENTIAL SERVICES

Practice address

4315 50TH St NW Ste 100
Washington, DC 20016-4369

Phone

(202) 644-2245

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Melvin Strasser-Nicol

Title

Co-Owner

Phone

(202) 817-6560

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natoe L Goba, FNP-BC

  • Family Nurse Practitioner
  • Berwyn Heights, MD
  • NPI 1023873239
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1114770534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 50TH ST NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164369",
            "telephone_number": "202-644-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 50TH ST NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164369",
            "telephone_number": "202-644-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "STRASSER-NICOL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "202-817-6560"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Hospital
• Providence Hospital
• Providence Hospital
• Providence Opticians Designer Eyewear Inc
• Providence Opticians, Inc.
• Proxima Care LLC
• Proximity Care Inc
• Prudence Kline MD PLLC
• Prudent Health Care Services Inc.
• Prudent Services Inc

• In Home Supportive Care Agency in Washington, DC
• Providers in Washington, DC by specialty
• In Home Supportive Care Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.