NPIMap

Organization Active NPI

Immaculata Supports, Inc.

  • In Home Supportive Care Agency
  • Washington, DC
National Provider Identifier
1447600887
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
C00005443303 Issued in DC
Legal business name
IMMACULATA SUPPORTS, INC.
Practice address
1629 K St NW
300
Washington, DC 20006-1602
Phone
(443) 226-2711
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Patricia Awa
Title
Ceo/Program Director
Phone
(443) 226-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X C00005443303 DC Primary

Addresses

Primary practice location

1629 K St NW
300
Washington, DC 20006-1602

Mailing address

1629 K St NW
300
Washington, DC 20006-1602

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1447600887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "address_2": "300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "address_2": "300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "443-226-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATA SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "AWA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-226-2711"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "C00005443303",
            "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 Jun 16, 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.