Organization Active NPI

Positive Life Enhancement LLC

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1992552632
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
POSITIVE LIFE ENHANCEMENT LLC
Practice address
1830 13TH St NW
Washington, DC 20009-4424
Phone
(704) 906-1389
NPI assigned
May 1, 2024
Last updated
Jul 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Authorized official

Name
Herbert Gray III
Title
Ceo/Managing Member
Phone
(704) 906-1389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1830 13TH St NW
Washington, DC 20009-4424

Mailing address

1830 13TH St NW
Washington, DC 20009-4424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751760000000",
    "number": "1992552632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094424",
            "telephone_number": "704-906-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE LIFE ENHANCEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "704-906-1389",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 6, 2025; 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.