NPIMap

Organization Active NPI

National Capital Treatment and Recovery

  • Substance Abuse Rehabilitation Facility
  • Arlington, VA
National Provider Identifier
1871995126
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
122-01-007 Issued in VA
Legal business name
NATIONAL CAPITAL TREATMENT AND RECOVERY
Practice address
4317 6TH St S
Arlington, VA 22204-1411
Phone
(703) 841-0703
Fax
(703) 243-0975
NPI assigned
Sep 18, 2014
Organization subpart
Yes
Parent organization
NATIONAL CAPITAL TREATMENT AND RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
David Nicholas
Title
Director of Revenue Cycle
Phone
(703) 825-8762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 122-01-007 VA Primary

Addresses

Primary practice location

4317 6TH St S
Arlington, VA 22204-1411

Mailing address

200 N Glebe Rd
Suite 104
Arlington, VA 22203-3728
Phone (703) 841-0703

Other identifiers 2

IdentifierTypeStateIssuer
12201043MedicaidVA
1558415968OtherVANPI

Other names 1

  • Demeter House Other name

National Provider Directory

National Provider Directory
Tax ID family
National Capital Treatment and Recovery-Maryland7 organizations share this tax ID, including this one
Part of
National Capital Treatment and Recovery-Maryland

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1871995126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N GLEBE RD",
            "address_2": "SUITE 104",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033728",
            "telephone_number": "703-841-0703",
            "fax_number": "703-243-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 6TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041411",
            "telephone_number": "703-841-0703",
            "fax_number": "703-243-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CAPITAL TREATMENT AND RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL CAPITAL TREATMENT AND RECOVERY",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "703-825-8762"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": "122-01-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12201043",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558415968",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Demeter House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Demeter House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.