NPIMap

Organization Active NPI

Holy Comforter-St. Cyprian Community Action Group

  • Substance Abuse Rehabilitation Facility
  • Washington, DC
National Provider Identifier
1821273111
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION GROUP
Practice address
1238 Pennsylvania Ave SE
Washington, DC 20003-2226
Phone
(202) 543-4750
Fax
(202) 543-4754
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Mr. Harold J Gordon
Title
President/Ceo
Phone
(202) 543-4558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X DC Primary

Addresses

Primary practice location

1238 Pennsylvania Ave SE
Washington, DC 20003-2226

Mailing address

901 Pennsylvania Ave SE
Washington, DC 20003-2141
Phone (202) 543-4558

Other names 1

  • Outpatient Treatment Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Action Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

901 Pennsylvania Ave SE
Washington, DC 20003

1238 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 543-4750

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1821273111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032141",
            "telephone_number": "202-543-4558",
            "fax_number": "202-543-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032226",
            "telephone_number": "202-543-4750",
            "fax_number": "202-543-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-543-4558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Treatment Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 4, 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.