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GINA OUTREACH INC NPI 1538589270


NPI Information

NPI: 1538589270
Provider Name: GINA OUTREACH, INC

Doing Business As: RESIDENTIAL HABILITATION

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5032 10TH ST NE
WASHINGTON, DC
ZIP 20017
Phone: (240) 463-2324
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GINA OUTREACH, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Washington, DC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GINA OUTREACH, INC NPI is 1538589270. The provider is registered as an organization entity type.
The provider Is Doing Business As Residential Habilitation.

The provider's business location address is:

5032 10TH ST NE
WASHINGTON, DC
ZIP 20017-844
Phone: (240) 463-2324
Fax: (202) 747-3877

The provider's authorized official is Regina Bebnji Ndongboh .
The authorized official title is President Ceo and has the following contact phone number (240) 463-2324.

The enumeration date for this NPI number is 4/21/2014 and was last updated on 4/21/2014.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesEIN800DISTRICT OF COLUMBIAYes

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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