NPIMap

Organization Active NPI

Dca Hadley Ltach, LLC

  • Long Term Care Hospital
  • Washington, DC
National Provider Identifier
1619069416
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
HFD01-0023 Issued in DC
Legal business name
DCA HADLEY LTACH, LLC
Doing business as
BridgePoint Continuing Care Hospital - National Harborside
BridgePoint Hospital National Harbor
BridgePoint Hospital National Harborside
Practice address
4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Phone
(202) 741-4170
Fax
(202) 373-5906
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Swenda Beitpoulice
Title
VP & Coo
Phone
(562) 453-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X HFD01-0023 DC Primary

Addresses

Primary practice location

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131

Mailing address

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Phone (202) 741-4170

Other identifiers 1

IdentifierTypeStateIssuer
034260800MedicaidDC

Other names 3

  • BridgePoint Continuing Care Hospital - National Harborside Doing business as
  • BridgePoint Hospital National Harbor Doing business as
  • BridgePoint Hospital National Harborside Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190909002597 DC Part B Supplier - Clinic/Group Practice 6709115298 Receives reassigned benefits from 44 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silver Spring, MD; Riverdale, MD; Rockville, MD; Washington, DC; Wheaton, MD; Bethesda, MD; Adelphi, MD; Alexandria, VA…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1619069416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MARTIN LUTHER KING JR AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321131",
            "telephone_number": "202-741-4170",
            "fax_number": "202-373-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MARTIN LUTHER KING JR AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321131",
            "telephone_number": "202-741-4170",
            "fax_number": "202-373-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCA HADLEY LTACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BEITPOULICE",
        "authorized_official_first_name": "SWENDA",
        "authorized_official_title_or_position": "VP & COO",
        "authorized_official_telephone_number": "562-453-7474"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "DC",
            "license": "HFD01-0023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034260800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BridgePoint Continuing Care Hospital - National Harborside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BridgePoint Hospital National Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BridgePoint Hospital National Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BridgePoint Hospital National Harborside",
            "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 Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.