Providence Residential Services
In Home Supportive Care in Washington, DC. Organization (NPI-2).
NPI number1114770534
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1114770534
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Residential Services
- Organization subpart
- No
- Enumeration date
- Apr 8, 2024
- Certification date
- Apr 6, 2024
- Last updated
- Apr 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
4315 50th St Nw Ste 100Washington, DC 20016-4369
Phone 202-644-2245
Mailing address
4315 50th St Nw Ste 100Washington, DC 20016-4369
Phone 202-644-2245
Authorized official
Melvin Strasser-Nicol
Co-Owner
2028176560
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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