Organization Active NPI

Excellent Community Services Inc.

  • Developmentally Disabled Services Day Training Agency
  • Washington, DC
National Provider Identifier
1508388067
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EXCELLENT COMMUNITY SERVICES INC.
Practice address
4229 3Rd St NW
Washington, DC 20011-4835
Phone
(202) 760-8778
NPI assigned
Jul 16, 2017
Organization subpart
Yes
Parent organization
EXCELLENT COMMUNITY SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Abraham Olaniyi Oguntimehin, CEO
Title
Ceo/Program Director
Phone
(240) 552-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4229 3Rd St NW
Washington, DC 20011-4835

Mailing address

4229 3Rd St NW
Washington, DC 20011-4835

Other names 2

  • Excellent Day Habilitation Program Doing business as
  • Excellent day Habilitation Services Doing business as

National Provider Directory

National Provider Directory
Part of
Excellent Community Services Inc

NPI Registry JSON

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508388067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 3RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 3RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114835",
            "telephone_number": "202-760-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT COMMUNITY SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELLENT COMMUNITY SERVICES INC.",
        "enumeration_date": "2017-07-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OGUNTIMEHIN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "OLANIYI",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "240-552-4551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellent Day Habilitation Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excellent day Habilitation Services",
            "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 Jun 16, 2018; 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.