Active NPI
Ja Community Services, LLC
- Developmentally Disabled Services Day Training Agency
- Takoma Park, MD
National Provider Identifier
1457736779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- JA COMMUNITY SERVICES, LLC
- Practice address
- 6480 New Hampshire Ave
#101
Takoma Park, MD 20912-4716 - Phone
- (301) 523-5030
- NPI assigned
- Jul 28, 2015
- 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
- Mr. Joseph A Powell Jr., M.S.
- Title
- President
- Phone
- (301) 523-5030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
6480 New Hampshire Ave
#101
Takoma Park, MD 20912-4716
Mailing address
8109 Hollygate Dr
Glenn Dale, MD 20769-2043
Phone (301) 523-5030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037172800 | Medicaid | DC |
Other names 1
- JACS
National Provider Directory
National Provider DirectoryLocations
6480 New Hampshire Ave
Ste 101
Takoma Park, MD 20912
Phone (301) 523-5030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1457736779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 HOLLYGATE DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207692043",
"telephone_number": "301-523-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 NEW HAMPSHIRE AVE",
"address_2": "#101",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124716",
"telephone_number": "301-523-5030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JA COMMUNITY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-523-5030",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037172800",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JACS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.