Organization Active NPI

Gospel Rescue Ministries of Washington, DC, Inc.

  • Substance Abuse Rehabilitation Facility
  • Washington, DC
National Provider Identifier
1184955759
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
012201R-098 Issued in DC
Legal business name
GOSPEL RESCUE MINISTRIES OF WASHINGTON, DC, INC.
Practice address
810 5TH St NW
Washington, DC 20001-2622
Phone
(202) 842-1731
Fax
(202) 898-0285
NPI assigned
Jan 21, 2010
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Mr. Michael J Cortese
Title
Executive Director and President
Phone
(202) 842-1731

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 091709A-205 DC
Substance Abuse Rehabilitation Facility 324500000X 012201R-098 DC Primary
Substance Abuse Rehabilitation Facility 324500000X 012301RW-116 DC

Addresses

Primary practice location

810 5TH St NW
Washington, DC 20001-2622

Mailing address

810 5TH St NW
Washington, DC 20001-2622
Phone (202) 842-1731

Other identifiers 1

IdentifierTypeStateIssuer
039475700MedicaidDC

National Provider Directory

National Provider Directory

Locations

810 5th St NW
Washington, DC 20001
Phone (202) 733-5378

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1184955759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 5TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012622",
            "telephone_number": "202-842-1731",
            "fax_number": "202-898-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 5TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012622",
            "telephone_number": "202-842-1731",
            "fax_number": "202-898-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSPEL RESCUE MINISTRIES OF WASHINGTON, DC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "CORTESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "202-842-1731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "DC",
            "license": "091709A-205",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "DC",
            "license": "012201R-098",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "DC",
            "license": "012301RW-116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039475700",
            "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 Feb 24, 2010; 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.