HERISE GROWTH CENTER NPI 1619859675

NPI Information

  • NPI: 1619859675
  • Provider Name: HERISE GROWTH CENTER
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 4905 SHERIFF RD NE
    WASHINGTON, DC
    ZIP 20019
  • Phone: (202) 617-1006

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NPI Details

HERISE GROWTH CENTER 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. HERISE GROWTH CENTER NPI is 1619859675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4905 SHERIFF RD NE
WASHINGTON, DC
ZIP 20019-802
Phone: (202) 617-1006

The provider's authorized official is Andrane M Gordon .
The authorized official title is Founder and has the following contact phone number (202) 617-1006.

The enumeration date for this NPI number is 7/22/2025 and was last updated on 7/22/2025.

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
1225XM0800XOccupational TherapistMental HealthNo
2101Y00000XCounselorNo
3103K00000XBehavior AnalystNo
4103T00000XPsychologistNo
5104100000XSocial WorkerNo
6106S00000XBehavior TechnicianNo
7163W00000XRegistered NurseNo
8171M00000XCase Manager/Care CoordinatorNo
9310400000XAssisted Living FacilityYes

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: 11/21/2025

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