Active NPI
Excellent Community Services Inc.
- Developmentally Disabled Services Day Training Agency
- Washington, DC
National Provider Identifier
1508388067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Excellent day Habilitation Services
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.