NPIMap

Organization Active NPI

Integrated Community Services, Inc.

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1407244304
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRATED COMMUNITY SERVICES, INC.
Practice address
6323 Georgia Ave NW Ste 350
Washington, DC 20011-1151
Phone
(202) 506-1209
Fax
(301) 434-3583
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Rose Oma, AUD
Title
Ceo
Phone
(301) 434-3503

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Respite Care 385H00000X

Addresses

Primary practice location

6323 Georgia Ave NW Ste 350
Washington, DC 20011-1151

Mailing address

6323 Georgia Ave NW Ste 350
Washington, DC 20011-1151
Phone (202) 506-1209

Other identifiers 1

IdentifierTypeStateIssuer
034494100MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302001826 DC Part A Provider - Home Health Agency 4385940204 Practice locations: Washington, DC

Home health agency certification: CCN 097073

Legal name
INTEGRATED COMMUNITY SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 11, 2017
Last certification
Nov 14, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 7, 2003 in MD
Enrollment address
820 First St NE
Ste 425
Washington, DC 20002-4243
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integrated Community Services IncCCN 097073
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jan 11, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

820 1st St NE
Ste 425
Washington, DC 20002
Phone (202) 506-1209

6323 Georgia Ave NW
Ste 305
Washington, DC 20011
Phone (202) 506-1209

820 1st St NE
Ste LL110
Washington, DC 20002

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Rose M Oma Individual 5% Or Greater Direct Ownership Interest May 7, 2003 100%
Corporate OfficerCeo May 7, 2003
Corporate DirectorBoard Member May 7, 2003
Operational/Managerial ControlCeo May 7, 2003

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1407244304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 350",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111151",
            "telephone_number": "202-506-1209",
            "fax_number": "301-434-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 350",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111151",
            "telephone_number": "202-506-1209",
            "fax_number": "301-434-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "OMA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-434-3503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034494100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.