Active NPI
Wholistic Services, Inc.
Doing business as Wholistic Services, III
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
National Provider Identifier
1447381256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2143483 | Wholistic Services III, Inc. | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Wholistic Services, Inc (Wholistic Services II)
- Wholistic Services, Inc (Wholistic Services IX)
- Wholistic Services, Inc (Wholistic Services, VII)
- Wholistic Services, Inc. (Wholistic Waiver Homes)
- Wholistic Services, Inc. (Wholistic Services VIII)
- Wholistic Services, Inc. (Wholistic Services, IV)
- Wholistic Services, Inc. (Wholistic Services 1)
- Wholistic Services, Inc. (Wholistic Active Treatment)
- Wholistic Services, Inc. (Wholistic Services, I)
- Wholistic Services, X Inc. (Wholistic Services, Inc.)
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.