PBJ HEALTHCARE SERVICES LLC NPI 1740801638

NPI Information

NPI: 1740801638
Provider Name: PBJ HEALTHCARE SERVICES LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2205 16TH ST SE
WASHINGTON, DC
ZIP 20020
Phone: (240) 425-2245
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PBJ HEALTHCARE SERVICES LLC 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. PBJ HEALTHCARE SERVICES LLC NPI is 1740801638. The provider is registered as an organization entity type.

The provider's business location address is:

2205 16TH ST SE
WASHINGTON, DC
ZIP 20020-333
Phone: (240) 425-2245

The provider's authorized official is Petra Bih Jua .
The authorized official title is Ceo and has the following contact phone number (301) 370-8049.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 5/1/2020.

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	Primary
1	251B00000X	Case Management		No
2	251E00000X	Home Health		No
3	251J00000X	Nursing Care		No
4	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
5	253Z00000X	In Home Supportive Care		No
6	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
7	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
9	385H00000X	Respite Care		No
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

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

NPI Synchronization or Removal

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