Wholistic Services, Inc.

Primary specialty

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

Legal business name

WHOLISTIC SERVICES, INC.

Doing business as

Wholistic Services, I

Practice address

4141 Anacostia Ave NE
Washington, DC 20019-1927

Phone

(202) 347-5334

Fax

(202) 347-1916

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Miatta Thomas

Title

Vice President

Phone

(202) 347-5334

Specialties & licenses 1

Addresses

Other names 1

• Wholistic Services, I Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942600986. Details of each certification follow.

• CCN 09G249 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 09G249

Legal name

WHOLISTIC SERVICES I, INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 13, 2014

Last certification

Aug 17, 2023

Beds

5

Ownership / control type

Private (proprietary)

Facility address

4141 Anacostia Avenue, NE
Washington, DC 20019

Locations

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1942600986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 RHODE ISLAND AVE NE",
            "address_2": "SUITE G1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021269",
            "telephone_number": "202-832-8787",
            "fax_number": "202-832-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 ANACOSTIA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191927",
            "telephone_number": "202-347-5334",
            "fax_number": "202-347-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MIATTA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "202-347-5334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholistic Services, I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wholistic Services, Inc. (Wholistic Services VIII)
• Wholistic Services, Inc. (Wholistic Services, III)
• Wholistic Services, Inc. (Wholistic Services, IV)
• Wholistic Services, Inc. (Wholistic Services 1)
• Wholistic Services, Inc. (Wholistic Active Treatment)
• Wholistic Services, X Inc. (Wholistic Services, Inc.)
• Wholistic Services, XII, Inc. (Wholistic Services, Inc.)
• Krystal Whren
• Reginald Keith Whren
• Anam Zahid Whyne, D.O.

• 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 27, 2014; 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.

Verify at the official NPI Registry.