Active NPI
Wholistic Services Inc.
Doing business as Wholistic Services V
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- WHOLISTIC SERVICES INC.
- Doing business as
- Wholistic Services V
- Practice address
- 6627 1St St NW
Washington, DC 20012-2125 - Phone
- (202) 723-3049
- Fax
- (202) 723-6446
- NPI assigned
- Mar 7, 2007
- Last updated
- Jan 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Miatta N Thomas, ATTORNEY
- Title
- Vice President
- Phone
- (202) 832-8787
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 025359800 | DC |
Addresses
Primary practice location
6627 1St St NW
Washington, DC 20012-2125
Mailing address
2309 Varnum St
Mount Rainier, MD 20712-1459
Phone (202) 832-8787
Other names 1
- Wholistic Services V
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639200355. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 09G158
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- WHOLISTIC 05
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 21, 1998
- Last certification
- May 29, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 6627 1St Street, NW
Washington, DC 20012
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2143458 | Wholistic Services V, Inc | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1639200355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 VARNUM ST",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207121459",
"telephone_number": "202-832-8787",
"fax_number": "202-347-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6627 1ST ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122125",
"telephone_number": "202-723-3049",
"fax_number": "202-723-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLISTIC SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "MIATTA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "202-832-8787",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ATTORNEY"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "DC",
"license": "025359800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wholistic Services V",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wholistic Services V",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, DC
- Pamela Whitter
- Colby Whittington
- Dawna Maria Whittington
- Tiffany Lashawn Whittington
- Belinda Whittle, RN
- Wholistic Services, Inc (Wholistic Services, VI)
- Wholistic Services, Inc (Wholistic Services II)
- Wholistic Services, Inc (Wholistic Services IX)
- Wholistic Services, Inc (Wholistic Services, VII)
- Wholistic Services, Inc. (Wholistic Waiver Homes)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.