NPIMap

Organization Active NPI

Holy Comforter-St. Cyprian Community Action G

  • Substance Abuse Rehabilitation Facility
  • Washington, DC
National Provider Identifier
1508041880
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
102500RW-023 Issued in DC
Legal business name
HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION G
Practice address
3321 13TH Street, SE
Washington, DC 20032
Phone
(202) 373-0940
Fax
(202) 373-0818
NPI assigned
Jan 4, 2008
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Ms. Janice M Dessaso
Title
President/Ceo
Phone
(202) 543-4558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 037112800 DC
Substance Abuse Rehabilitation Facility 324500000X 102500RW-023 DC Primary

Addresses

Primary practice location

3321 13TH Street, SE
Washington, DC 20032

Mailing address

335 8TH Street, SE
Washington, DC 20003
Phone (202) 543-4558

Other names 1

  • Adult Women Residential Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Action Group5 organizations share this tax ID, including this one
Part of
Community Action Group

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

335 8th St SE
Washington, DC 20003

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1508041880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 8TH STREET, SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20003",
            "telephone_number": "202-543-4558",
            "fax_number": "202-543-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 13TH STREET, SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-373-0940",
            "fax_number": "202-373-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION G",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION GROUP",
        "enumeration_date": "2008-01-04",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "DESSASO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-543-4558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "DC",
            "license": "037112800",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "DC",
            "license": "102500RW-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Women Residential Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 31, 2012; 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.