BV/Mstar Chevy Chase Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BV/MSTAR CHEVY CHASE TENANT, LLC

Doing business as

Chevy Chase House

Practice address

5420 Connecticut Ave NW
Washington, DC 20015-2800

Phone

(202) 686-5504

Fax

(202) 686-8677

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Henry James Vaughn

Title

Reimbursement Analyst

Phone

(240) 595-6025

Specialties & licenses 1

Addresses

Other names 1

• Chevy Chase House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1164019444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152800",
            "telephone_number": "202-686-5504",
            "fax_number": "202-686-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152800",
            "telephone_number": "202-686-5504",
            "fax_number": "202-686-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BV/MSTAR CHEVY CHASE TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chevy Chase House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jahana Butts
• Shawn Butts
• Barbara Buxton
• Claire Buxton, AU.D.
• Matthew Buzek
• Agnes Bwang
• Salome K Bwayo, PHARM.D.
• By His Grace Home Support Agency
• Elizabeth McMath Byam, LPC
• Janine Byam

• Assisted Living Facility in Washington, DC
• Providers in Washington, DC by specialty
• Assisted Living Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.