Organization Active NPI

Stoddard Adult Day Care Center LLC

  • Adult Care Home Facility
  • Washington, DC
National Provider Identifier
1396103891
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
STODDARD ADULT DAY CARE CENTER LLC
Practice address
2112 Varnum St NE
Washington, DC 20018-3320
Phone
(202) 541-6153
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
STODDARD BAPTIST SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Steven Nash
Title
Ceo
Phone
(202) 328-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

2112 Varnum St NE
Washington, DC 20018-3320

Mailing address

1818 Newton St NW
Washington, DC 20010-1017
Phone (202) 328-7400

National Provider Directory

National Provider Directory

Locations

2112 Varnum St NE
Washington, DC 20018
Phone (202) 541-6153

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1396103891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEWTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101017",
            "telephone_number": "202-328-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183320",
            "telephone_number": "202-541-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STODDARD ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STODDARD BAPTIST SERVICES",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-328-7400"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.