St. John'S Community Services-DC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

HFD12-0070 Issued in DC

Legal business name

ST. JOHN'S COMMUNITY SERVICES-DC

Practice address

2201 Wisconsin Ave NW
Suite C-150
Washington, DC 20007-4105

Phone

(202) 237-6500

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Tom Wilds

Title

Ceo

Phone

(202) 274-3400

Specialties & licenses 1

Addresses

Tax ID family

St John'S Community Service2 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.

• St John'S Community Service

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, DC
  • NPI 1366768194
  NPD tax ID

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780806828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WISCONSIN AVE NW",
            "address_2": "SUITE C-150",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074105",
            "telephone_number": "202-237-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WISCONSIN AVE NW",
            "address_2": "SUITE C-150",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074105",
            "telephone_number": "202-237-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S COMMUNITY SERVICES-DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILDS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-274-3400"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": "HFD12-0070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington, DC
• Providers in Washington, DC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.