Eckington House Mental Health Service LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ECKINGTON HOUSE MENTAL HEALTH SERVICE LLC

Practice address

3030 30TH St SE
Washington, DC 20020-1674

Phone

(202) 870-0701

Fax

(202) 506-3522

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Joyce Stephens, JURIS DOCTORATE

Title

Ceo

Phone

(202) 870-0701

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1386164705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 T ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021530",
            "telephone_number": "202-870-0701",
            "fax_number": "202-506-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 30TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200201674",
            "telephone_number": "202-870-0701",
            "fax_number": "202-506-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKINGTON HOUSE MENTAL HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-870-0701",
        "authorized_official_credential": "JURIS DOCTORATE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "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": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040837200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Eckert, FNP-C
• Laurie Elizabeth-Marie Eckert
• Timothy Eckert
• Bryan Eckhart, MD
• Faith Eckhoff
• Curt J Eckstrom, FNP-BC
• Serina Eckwood
• Eclectic DC
• Ecwellness LLC
• Laquita Renee Eddie, HOME HEALTH AIDE

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington, DC
• Providers in Washington, DC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.