Organization Active NPI

Epic Life Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, DC
National Provider Identifier
1245610807
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EPIC LIFE INC.
Practice address
2305 Minnesota Ave SE
Washington, DC 20020-5325
Phone
(240) 641-2674
Fax
(240) 280-8460
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Ydia Gordon
Title
Ceo
Phone
(240) 641-2674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2305 Minnesota Ave SE
Washington, DC 20020-5325

Mailing address

1523 White PL SE
Lower Level
Washington, DC 20020-5343
Phone (240) 641-2674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1245610807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 WHITE PL SE",
            "address_2": "LOWER LEVEL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205343",
            "telephone_number": "240-641-2674",
            "fax_number": "240-280-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 MINNESOTA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205325",
            "telephone_number": "240-641-2674",
            "fax_number": "240-280-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "YDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-641-2674"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 2015; 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.