Organization Active NPI

Wholistic Services, Inc.

Doing business as Wholistic Services, III

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1447381256
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
WHOLISTIC SERVICES, INC.
Doing business as
Wholistic Services, III
Practice address
1814 Bunker Hill Rd NE
Washington, DC 20018-3220
Phone
(202) 635-9321
Fax
(202) 636-4546
NPI assigned
Mar 7, 2007
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Ms. Miatta N Thomas, ATTORNEY
Title
Vice President
Phone
(202) 347-5334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 025357300 DC

Addresses

Primary practice location

1814 Bunker Hill Rd NE
Washington, DC 20018-3220

Mailing address

2309 Varnum St
Mount Rainier, MD 20712-1459
Phone (202) 832-8787

Other names 1

  • Wholistic Services, III Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2143483Wholistic Services III, Inc.1814 Bunker Hill Rd, NE, Washington, DC 20018Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

Locations

2309 Varnum St
Mount Rainier, MD 20712

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1447381256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 VARNUM ST",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207121459",
            "telephone_number": "202-832-8787",
            "fax_number": "202-347-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183220",
            "telephone_number": "202-635-9321",
            "fax_number": "202-636-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MIATTA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "202-347-5334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": "025357300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholistic Services, III",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wholistic Services, III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.