NPIMap

Organization Active NPI

Jubilee Community Development Corporation

Doing business as JCDC

  • Substance Abuse Rehabilitation Facility
  • Triangle, VA
National Provider Identifier
1740801216
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
JUBILEE COMMUNITY DEVELOPMENT CORPORATION
Doing business as
JCDC
Practice address
3398 Oakham Mount Dr
Triangle, VA 22172-2342
Phone
(877) 360-1177
NPI assigned
May 6, 2020
Last updated
May 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Sylvia D Shipman, DDNPI 1669965737
Title
Ceo
Phone
(240) 461-8096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

3398 Oakham Mount Dr
Triangle, VA 22172-2342

Mailing address

3398 Oakham Mount Dr
Triangle, VA 22172-2342
Phone (877) 360-1177

Other practice location 1

1540 6th St NW
Washington, DC 20001-2421
Phone (877) 360-1177

Other names 1

  • JCDC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1740801216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 OAKHAM MOUNT DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722342",
            "telephone_number": "877-360-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 OAKHAM MOUNT DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722342",
            "telephone_number": "877-360-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 6th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200012421",
            "country_code": "US",
            "telephone_number": "877-360-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUBILEE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-461-8096",
        "authorized_official_credential": "DD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCDC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JCDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Triangle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.