Organization Active NPI

Wholistic Services Inc.

Doing business as Wholistic Services V

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1639200355
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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)CodeLicenseStatePrimary
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 Doing business as

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.

  • CCN 09G158 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2143458Wholistic Services V, Inc6627 First Street, NW, Washington, DC 20012Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

NPI 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

Sources for this page

Verify at the official NPI Registry.