Organization Active NPI

Our Emmanuel LNC

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1558999896
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
OUR EMMANUEL LNC
Practice address
2301 Georgia Ave NW Ste D
Washington, DC 20001-3000
Phone
(202) 996-0125
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Oladapo Daniel Adeyale
Title
Coo
Phone
(301) 256-4724

Specialties & licenses 1

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

Addresses

Primary practice location

2301 Georgia Ave NW Ste D
Washington, DC 20001-3000

Mailing address

5639 Annapolis Rd
Bladensburg, MD 20710-2212
Phone (301) 699-3344

National Provider Directory

National Provider Directory
Tax ID family
Our Emmanuel LNC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2301 Georgia Ave NW
Ste D
Washington, DC 20001
Phone (202) 996-0125

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1558999896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 ANNAPOLIS RD",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102212",
            "telephone_number": "301-699-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GEORGIA AVE NW STE D",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013000",
            "telephone_number": "202-996-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR EMMANUEL LNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "ADEYALE",
        "authorized_official_first_name": "OLADAPO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "301-256-4724"
    },
    "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 Mar 31, 2020; 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.