Jermon & Diego Homes

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

JERMON & DIEGO HOMES

Doing business as

My Brothers Place

Practice address

1208 50TH PL NE
Washington, DC 20019-4011

Phone

(800) 503-9702

Fax

(202) 388-0729

NPI assigned

Nov 6, 2010

Organization subpart

Yes

Parent organization

4 HEAVEN'S SAKE HOMECARE & TRANSPORTATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Kevisha Chevelle Drew, CNA,EKG,HHA,MEDICAL

Title

Owner

Phone

(800) 503-9702

Specialties & licenses 3

Addresses

Other names 1

• My Brothers Place Doing business as

Part of

4 Heaven'S Sake Homecare Transportation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 4 Heaven'S Sake Homecare & Transportation

  • Home Health Agency
  • Washington, DC
  • NPI 1538460530
  NPPES parent name

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289001600000",
    "number": "1366743361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 50TH PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194011",
            "telephone_number": "800-503-9702",
            "fax_number": "202-388-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 50TH PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194011",
            "telephone_number": "800-503-9702",
            "fax_number": "202-388-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERMON & DIEGO HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "4 HEAVEN'S SAKE HOMECARE & TRANSPORTATION",
        "enumeration_date": "2010-11-06",
        "last_updated": "2010-11-06",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "KEVISHA",
        "authorized_official_middle_name": "CHEVELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18005039702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA,EKG,HHA,MEDICAL"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Brothers Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Go Eun Jeong
• Seo Rin Jeong, DDS
• Carolyn Kuenne Jeppsen
• Joseph Jeral, MD
• Tiffany Jerinsky, LGPC
• Elsie Jernigan
• Senora Jernigan
• Tara Jernigan
• Divivian Jerome-McGuire, PHARMD
• Alyssa Mariah Jerome

• Child Intellectual and/or Developmental Disabilities Respite Care in Washington, DC
• Providers in Washington, DC by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.