NPIMap

Organization Active NPI

Lucy Webb Hayes National Training School for Deaconesses & Missionarie

Doing business as Sibley Memorial Hospital

  • General Acute Care Hospital
  • Washington, DC
National Provider Identifier
1366492977
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HFD01-0213 Issued in DC
Legal business name
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE
Doing business as
Sibley Memorial Hospital
Practice address
5255 Loughboro Rd NW
Washington, DC 20016-2695
Phone
(202) 537-4680
Fax
(202) 537-4683
NPI assigned
May 12, 2006
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mr. Richard O Davis
Title
President
Phone
(202) 537-4680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X HFD01-0213 DC Primary

Addresses

Primary practice location

5255 Loughboro Rd NW
Washington, DC 20016-2695

Mailing address

5255 Loughboro Rd NW
Washington, DC 20016-2695
Phone (202) 537-4680

Other identifiers 5

IdentifierTypeStateIssuer
709OtherDCCAREFIRST BLUE CROSS
005155100MedicaidMD
0190050MedicaidDC
236035OtherDCMAMSI
9810081MedicaidVA

Other names 1

  • Sibley Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000552 DC Part A Provider - Hospital 6002884301 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366492977. Details of each certification follow.

Hospital certification: CCN 090005

Legal name
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE
Doing business as
SIBLEY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 10, 1990
Beds
362
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Mar 23, 1927 in DC
Enrollment address
5255 Loughboro Rd NW
Sibley Memorial Hospital
Washington, DC 20016-2695
Other Hospital Practice Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Sibley Memorial HospitalCCN 090005 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Surgical House Staff Si8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5255 Loughboro Rd NW
Ofc Of
Washington, DC 20016

5530 Wisconsin Ave
Ste 670
Chevy Chase, MD 20815
Phone (301) 951-7220

Ownership & related parties

All disclosed owners & managing parties 40

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Mallett Individual Corporate Director Jul 1, 2020
Kimberly Elyanow Individual Corporate Officer Aug 8, 2022
Kevin K Sowers Individual Corporate OfficerCorporate Vice Chairman Feb 1, 2018
Donna Renee Cryer Individual Corporate DirectorBoard Member Jul 1, 2017
Lakmini Nanayakkara-Kidder Individual Corporate Officer Jul 31, 2020
Tiffany Pratt Individual Corporate Officer Jun 5, 2023
Thomas Schaefer Individual Corporate DirectorTrustee Oct 9, 1987
Harry Steven Hertz Individual Corporate DirectorBoard Member Jul 1, 2017
Pandit Wright Individual Corporate Director Jul 1, 2023
Edward Miller Individual Corporate DirectorChairman May 13, 1988
Karen M Horton Individual Corporate Director Jul 1, 2022
John Julius Castellani Individual Corporate DirectorBoard Member Jul 1, 2014
Laura Hendricks-Jackson Individual Corporate Officer Aug 22, 2018
William Barton Individual Corporate DirectorVice Chair May 23, 1997
Archie Argo Individual Corporate DirectorTrustee Oct 22, 2004
Robert S Silberman Individual Corporate DirectorBoard Member Jul 1, 2016
Caroline Shafa Individual Corporate OfficerVice President, Clinical Operations May 1, 2013
Fred Humphries Individual Corporate Director Jul 1, 2023
Cynthia Lewin Individual Corporate Director Jul 1, 2023
The Johns Hopkins Health System Corporation Organization, Balitmore, MD Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2010
Vadim M. Schick Individual Corporate Officer Jul 1, 2023
Maya Ajmera Individual Corporate Director Jul 1, 2019
Carolyn Carpenter Individual Corporate Officer Aug 24, 2020
Corporate Director Aug 24, 2020
Judy Lansing Individual Corporate Director Jul 1, 2021
Hasan Zia Individual Corporate OfficerInterim VP, Medical Affairs and Cmo Nov 20, 2017
W-2 Managing EmployeePresident, Cmo Nov 20, 2017
Richard Morris Individual Corporate DirectorTreasurer Trustee May 23, 2007
Martin G Paul Individual Corporate Director Jul 1, 2016
Joshua Ammerman Individual Corporate DirectorBoard Member Dec 9, 2013
Pamela T Owens Individual W-2 Managing EmployeeActing Chief Compliance Officer Jun 20, 2017
Anu Mullick Individual Corporate Officer May 21, 2023
Andrei Cernea Individual Corporate Director Feb 1, 2021
Deborah E Trautman Individual Corporate Director Jul 1, 2015
Capricia Marshall Individual Corporate Director Jul 1, 2018
Charles Parker Individual Corporate Director Jul 1, 2023
Michael Farr Individual Corporate DirectorTrustee Jan 24, 2003
Joan Lewis Individual Corporate Director Jul 1, 2018
Guy Cecil Individual Corporate Director Jul 1, 2023
Geoffrey Brown Individual Corporate DirectorTrustee May 27, 2009
Jennifer Abele Individual Corporate Officer Jul 1, 2020
Peter B Mancino Individual W-2 Managing EmployeeVP, Corporate Compliance and Depgc Jul 1, 2017

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Potomac Home Health CareBethesda, MD, CCN 217084 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jun 24, 1986

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

Affiliated clinicians 1,023

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,023

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1366492977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162695",
            "telephone_number": "202-537-4680",
            "fax_number": "202-537-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162695",
            "telephone_number": "202-537-4680",
            "fax_number": "202-537-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-537-4680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "DC",
            "license": "HFD01-0213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "709",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005155100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190050",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "236035",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9810081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sibley Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.