Organization Active NPI

Easter Seals Walter Reed Adult Day Center

  • Adult Day Care Clinic/Center
  • Arlington, VA
National Provider Identifier
1952555617
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EASTER SEALS WALTER REED ADULT DAY CENTER
Practice address
2909 16TH St S
Arlington, VA 22204-4974
Phone
(703) 228-0964
Fax
(301) 576-5317
NPI assigned
Nov 7, 2008
Organization subpart
Yes
Parent organization
EASTER SEALS GREATER WASHINGTON REGIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Mr. Fred L Wilson
Title
Cfo
Phone
(301) 588-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2909 16TH St S
Arlington, VA 22204-4974

Mailing address

1420 Spring St
Silver Spring, MD 20910-2701
Phone (301) 588-8700

Other identifiers 1

IdentifierTypeStateIssuer
5302145000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Baltimore-Washington2 organizations share this tax ID, including this one
Part of
Easter Seal Society

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1952555617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102701",
            "telephone_number": "301-588-8700",
            "fax_number": "301-576-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 16TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044974",
            "telephone_number": "703-228-0964",
            "fax_number": "301-576-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WALTER REED ADULT DAY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS GREATER WASHINGTON REGION",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-588-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5302145000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2009; 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.