CQC HEALTHCARE, LLC


Address: 1100 New Jersey Ave Se # 2145, Washington, DC 20003-3302
Phone: 2027434274

CQC HEALTHCARE, LLC (NPI# 1023634573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023634573
Entity Type Organization
Organization Name CQC HEALTHCARE, LLC
Practice Address 1100 New Jersey Ave Se # 2145
Washington
DC 20003-3302
Practice Telephone 2027434274
Enumeration Date 2020-06-21
Last Update Date 2020-06-21
Authorized Official Name CORRIE TURPIN (CHIEF OPERATIONS OFFICER)
Authorized Official Telephone 3017108646
Authorized Official Credential LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1100 NEW JERSEY AVE SE # 2145
City WASHINGTON
State DC
Zip Code 20003-3302

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1538706676 Eric Schwartz Specialist/Technologist 2400 E Capitol St Se, Washington, DC 20003 2019-12-09
1669945879 Taiwo O Adeyemo Nurse Practitioner Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 2019-01-10
1881164424 Heather Yvonne Daniels Social Worker 650 I Street Ne, Washington, DC 20003 2018-11-27
1467946566 Fanta Boakai Sheriff Home Health Aide 1202 12th Street Se, Washington, DC 20003 2018-06-21
1881117513 Rose Physcial Therapy Group Physical Therapist 1015 Half Street #102, Washington, DC 20003 2017-07-25
1821510280 Tiara Doniece Jackson Technician 601 L St Se, Apt 1001, Washington, DC 20003 2017-07-07
1083134985 Sophia Olivia Hooper Home Health Aide 1612 A St Se, Washington, DC 20003 2017-06-21
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1477174803 Unity Health Care, Inc. Clinic/Center 10 I St Sw, Washington, DC 20024-4266 2020-04-27
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1033738653 Unity Health Care, Inc Clinic/Center 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 2020-04-14
1376162040 Unity Health Care, Inc. Clinic/Center 1615 New York Ave Ne, Washington, DC 20002-1725 2020-04-13
1518427970 Patrons Healthcare Services Clinic/Center 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 2019-03-21
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Competitor

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City WASHINGTON
Zip Code 20003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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