Organization Active NPI

Memm'S Holistic Health and Community Services

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1528833688
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MEMM'S HOLISTIC HEALTH AND COMMUNITY SERVICES
Practice address
323 15TH St NE
Washington, DC 20002-6501
Phone
(240) 487-8992
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Modestine Djamo, RNNPI 1992510127
Title
Ceo
Phone
(240) 487-8992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

323 15TH St NE
Washington, DC 20002-6501

Mailing address

5730 Blair Rd NW
Washington, DC 20011-2360
Phone (240) 487-8992

National Provider Directory

National Provider Directory

Locations

323 15th St NE
Washington, DC 20002
Phone (202) 388-0992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1528833688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BLAIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112360",
            "telephone_number": "240-487-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026501",
            "telephone_number": "240-487-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMM'S HOLISTIC HEALTH AND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "DJAMO",
        "authorized_official_first_name": "MODESTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-487-8992",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "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 Nov 20, 2023; 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.