ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN NPI 1639168743

NPI Information

NPI: 1639168743
Provider Name: ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN

Doing Business As: LISNER-LOUISE-DICKSON-HURT HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
5425 WESTERN AVE NW
WASHINGTON, DC
ZIP 20015
Phone: (202) 966-6667
Get Directions

ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN is an assisted living facility in Washington, DC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN NPI is 1639168743. The provider is registered as an organization entity type.
The provider Is Doing Business As Lisner-louise-dickson-hurt Home.

The provider's business location address is:

5425 WESTERN AVE NW
WASHINGTON, DC
ZIP 20015-931
Phone: (202) 966-6667
Fax: (202) 362-0360

The provider's authorized official is L. Ward Orem .
The authorized official title is Administrator and has the following contact phone number (202) 966-6667.

The CLIA number assigned to this NPI record is 09D0696044 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 9/18/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		ALR-0002	DISTRICT OF COLUMBIA	Yes
2	314000000X	Skilled Nursing Facility		HFD020015	DISTRICT OF COLUMBIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	095025	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA	LONG TERM CARE FACILITY

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: 11/14/2023

NPI Synchronization or Removal

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