Saint Coletta of Greater Washington

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

28002006 Issued in VA

Legal business name

SAINT COLETTA OF GREATER WASHINGTON

Practice address

207 S Peyton St
Alexandria, VA 22314-2812

Phone

(571) 438-6940

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Davis

Title

Director Adult Services

Phone

(571) 438-6940

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St. Coletta Day Support Program Other name

Tax ID family

St Coletta of Greater Washington3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• St. Coletta of Greater Washington

  • Local Education Agency (LEA)
  • Washington, DC
  • NPI 1477937092
  NPD tax ID
• St. Coletta of Greater Washington

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1770967861
  NPD tax ID

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1720263254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 INDEPENDENCE AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031733",
            "telephone_number": "202-350-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S PEYTON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142812",
            "telephone_number": "571-438-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT COLETTA OF GREATER WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR ADULT SERVICES",
        "authorized_official_telephone_number": "571-438-6940"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "28002006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030780200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030779500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034788220",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Coletta Day Support Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Selma Sahin
• Said M. Khalefa DDS, PC
• Iyad S Saidi, MD. PHD
• Sail Med LLC
• Sail Med LLC
• Lissa Christina Sakata, M,D, M.P.H.
• Kwame Boateng Sakyi
• Nazila Raofi Salamkhail
• Heather Salazar, RN
• Bryan Saldana, MD

• Developmentally Disabled Services Day Training Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.