Palisades Healthcare Partners Inc
Organization Active NPI Home Health Agency · Washington, DC
NPI 1376943597 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1376943597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- PALISADES HEALTHCARE PARTNERS INC
- Practice address
- 1822 Jefferson PL NW
Washington, DC 20036-2505 - Phone
- (202) 293-2931
- Fax
- (202) 293-3480
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Wehiba Kalifa
- Title
- Chairperson
- Phone
- (310) 980-3834
Member organizations 1
Change of ownership 1
Practitioners 32
-
Paulette Carter, RN
Medicare Care Compare: Home health agency
- Listed as
- Asap Services
- Ownership
- Proprietary
- Certified
- Dec 13, 2002
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2319972 | Palisades Healthcare Partners Inc | Certificate of waiver | Mar 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Home health agency certification: CCN 097051
- Legal name
- PALISADES HEALTH CARE PARTNERS INC
- Doing business as
- ASAP SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 13, 2002
- Last certification
- Apr 17, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 8, 2014 in DC
- Enrollment address
- 1822 Jefferson PL NW
Washington, DC 20036-2505
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Belai K Habte-Jesus |
Corporate Officer |
Jan 1, 2019 | |
| Corporate Director |
Jan 1, 2019 | ||
| Wehiba Kalifa |
5% Or Greater Direct Ownership Interest |
Jan 1, 2019 | 100% |
| Corporate Officer |
Jan 1, 2019 | ||
| Corporate Director |
Jan 1, 2019 | ||
| W-2 Managing Employee |
Jan 1, 2019 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2019 | Change of Ownership |
Asap Services Corporation |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190205002747 | DC | Part a Provider - Home Health Agency | 3678898848 | Practice locations: Washington, DC |
National Provider Directory
Locations
1822 Jefferson Pl NW
Washington, DC 20036
Phone (202) 293-2931
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1822 Jefferson PL NW
Washington, DC 20036-2505
Mailing address
1822 Jefferson PL NW
Washington, DC 20036-2505
Phone (202) 293-2931
Other names
- ASAP Services
Other providers in Washington, DC
- Christian Edward Paletta
- Anna Paley
- Robert H Paley
- Pierre L Palian
- Palisades Chiropractic PLLC
- Odette Paliwang
- Anna Palka
- Jon Palks
- Prinette Nzelle Palle Epse Sone Epie
- Srilekha R Palle
All providers in Washington, DC · Home Health Agency in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.