Organization Active NPI

Bourn Enterprises

  • Developmentally Disabled Services Day Training Agency
  • Washington, DC
National Provider Identifier
1215110333
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
20378XXXX-67006149 Issued in DC
Legal business name
BOURN ENTERPRISES
Practice address
2537 Bladensburg Rd NE
Washington, DC 20018-1420
Phone
(202) 269-1703
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mr. Alonzo Carver Brown
Title
Executive Director
Phone
(202) 269-1703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 20378XXXX-67006149 DC Primary

Addresses

Primary practice location

2537 Bladensburg Rd NE
Washington, DC 20018-1420

Mailing address

2537 Bladensburg Rd NE
Washington, DC 20018-1420
Phone (202) 269-1703

Other identifiers 1

IdentifierTypeStateIssuer
037519500MedicaidDC

National Provider Directory

National Provider Directory

Locations

2537 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 269-1703

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1215110333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 BLADENSBURG RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181420",
            "telephone_number": "202-269-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 BLADENSBURG RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181420",
            "telephone_number": "202-269-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "CARVER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-269-1703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "DC",
            "license": "20378XXXX-67006149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037519500",
            "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 Dec 12, 2007; 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.