Active NPI
DC Health Care Inc
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
National Provider Identifier
1801491907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- DC HEALTH CARE INC
- Practice address
- 80 Sheridan St NE
Washington, DC 20011-1470 - Phone
- (202) 547-2008
- Fax
- (202) 547-2331
- NPI assigned
- Dec 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jim George
- Title
- Coo
- Phone
- (202) 878-8501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
80 Sheridan St NE
Washington, DC 20011-1470
Mailing address
429 Florida Ave NE
Washington, DC 20002-3437
Phone (202) 878-8501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063090300 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 09G259
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
- DC HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jan 13, 2021
- Last certification
- Jan 23, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 80 Sheridan Street, NE
Washington, DC 20011
National Provider Directory
National Provider Directory- Tax ID family
- DC Health Care Inc
Other organizations with this tax ID 17
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Washington, DC
- NPI 1194102905
-
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
- NPI 1437879459
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Washington, DC
- NPI 1568791564
-
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
- NPI 1295945285
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Washington, DC
- NPI 1386854362
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Washington, DC
- NPI 1417129776
-
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
- NPI 1710116751
-
- Intellectual Disabilities Intermediate Care Facility
- Washington, DC
- NPI 1033320668
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Washington, DC
- NPI 1043421571
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Washington, DC
- NPI 1215148846
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Washington, DC
- NPI 1497966022
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Washington, DC
- NPI 1518177526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607040000000",
"number": "1801491907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 FLORIDA AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023437",
"telephone_number": "202-878-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SHERIDAN ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111470",
"telephone_number": "202-547-2008",
"fax_number": "202-547-2331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DC HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-02",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "202-878-8501",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063090300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.