Ida Mae Campbell Wellness & Resource Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IDA MAE CAMPBELL WELLNESS & RESOURCE CENTER

Practice address

1338 N Capitol St NW
Suite 101
Washington, DC 20002-3337

Phone

(202) 684-7015

Fax

(866) 666-0251

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Iden Donovan Campbell-McCollum

Title

Ceo/Founder

Phone

(202) 684-7015

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1265752620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 N CAPITOL ST NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023337",
            "telephone_number": "202-684-7015",
            "fax_number": "866-666-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 N CAPITOL ST NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023337",
            "telephone_number": "202-684-7015",
            "fax_number": "866-666-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA MAE CAMPBELL WELLNESS & RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL-MCCOLLUM",
        "authorized_official_first_name": "IDEN",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "202-684-7015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon Icho
• John Mbah Ichok
• Betrand Abah Ichu
• Ics
• Ida Mae Campbell Foundation
• Issah Iddrisu
• Ninche Iddrisu
• Sawudatu Iddrisu
• Idea Counseling Services Inc.
• Idea Public Charter School

• Case Management Agency in Washington, DC
• Providers in Washington, DC by specialty
• Case Management Agency in District of Columbia

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