Organization Active NPI

Vizion One, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1992939474
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
DCJM-2008-HC-0001-06 Issued in DC
Legal business name
VIZION ONE, INC
Practice address
1237 Gallatin St NE
Washington, DC 20017-2856
Phone
(202) 545-0211
Fax
(240) 751-4156
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Abdallah Suleman Kitwara, MBA
Title
Ceo
Phone
(202) 545-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X DCJM-2008-HC-0001-06 DC Primary

Addresses

Primary practice location

1237 Gallatin St NE
Washington, DC 20017-2856

Mailing address

1237 Gallatin St NE
Washington, DC 20017-2856
Phone (202) 545-0211

Other identifiers 1

IdentifierTypeStateIssuer
039252900MedicaidDC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1992939474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 GALLATIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172856",
            "telephone_number": "202-545-0211",
            "fax_number": "240-751-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 GALLATIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172856",
            "telephone_number": "202-545-0211",
            "fax_number": "240-751-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZION ONE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "KITWARA",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_middle_name": "SULEMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-545-0211",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "DC",
            "license": "DCJM-2008-HC-0001-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039252900",
            "state": "DC"
        }
    ],
    "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 May 12, 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.