Phase LL Academy, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

400313901068 Issued in DC

Legal business name

PHASE LL ACADEMY, LLC

Practice address

4702 14TH St NW
Washington, DC 20011-4315

Phone

(202) 545-0311

Fax

(202) 204-5807

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Dean Fenner

Title

Director

Phone

(202) 262-1811

Specialties & licenses 1

Addresses

Tax ID family

Phase LL Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Phase LL Academy

  • Specialist
  • Washington, DC
  • NPI 1225246820
  NPD tax ID

Locations

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1750774816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1222",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210440222",
            "telephone_number": "202-262-1811",
            "fax_number": "202-204-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114315",
            "telephone_number": "202-545-0311",
            "fax_number": "202-204-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE LL ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "FENNER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-262-1811",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "DC",
            "license": "400313901068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elcie Pharaon Rejouit
• Pharm-Pro, Inc.
• Pharmacare at DC, LLC
• Pharmacy4Humanity
• Phase LL Academy
• Meagan Phelan, RD
• Alfred Lorenzo Phelps, P.A.-C
• Benjamin Ryan Phelps, MD, MPH, CTROPMED
• Carmen Elise Phelps, LCSW-C, LICSW
• Chearie Phelps

• Developmentally Disabled Services Day Training Agency in Washington, DC
• Providers in Washington, DC by specialty
• Developmentally Disabled Services Day Training Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.