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STODDARD ADULT DAY CARE CENTER LLC NPI 1396103891


NPI Information

NPI: 1396103891
Provider Name: STODDARD ADULT DAY CARE CENTER LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 09D0689245

Address:
2112 VARNUM ST NE
WASHINGTON, DC
ZIP 20018
Phone: (202) 541-6153
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STODDARD ADULT DAY CARE CENTER LLC is an adult care home custodial care facility in Washington, DC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. STODDARD ADULT DAY CARE CENTER LLC NPI is 1396103891. The provider is registered as an organization entity type.

The provider's business location address is:

2112 VARNUM ST NE
WASHINGTON, DC
ZIP 20018-320
Phone: (202) 541-6153

The provider's authorized official is Steven Nash .
The authorized official title is Ceo and has the following contact phone number (202) 328-7400.

The CLIA number assigned to this NPI record is 09D0689245 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2016 and was last updated on 1/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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