INDIVIDUAL DEVELOPMENT INC (NPI# 1033397179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033397179 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL DEVELOPMENT INC |
| Practice Address |
2620 24th Street Ne Washington DC 20018 |
| Mailing Address |
1420 N Street Nw Suite #9 Washington DC 20005 |
| Practice Telephone | 2022694047 |
| Practice Fax Number | 2022690160 |
| Mailing Telephone | 2025180314 |
| Mailing Fax Number | 2025189685 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | MR. RONALD RAGHUNANDAN (CFO CEO) |
| Authorized Official Telephone | 2025180314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760660898 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 6010 Dix Street Ne, Washington, DC 20019 | 2008-01-31 |
| 1205014347 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 3020 Stanton Road Se, Washington, DC 20020 | 2008-01-31 |
| 1295912368 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 3312 4th Street Se, Washington, DC 20032 | 2008-01-30 |
| 1811174980 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 431 53rd Street Se, Washington, DC 20019 | 2008-01-30 |
| 1184801250 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 4954 Astor Place Se, Washington, DC 20019 | 2008-01-30 |
| 1932386380 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 2553 36th Street Se, Washington, DC 20020 | 2008-01-29 |
| 1306023759 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 4515 Edson Place Ne, Washington, DC 20019 | 2008-01-29 |
| 1639356090 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 6520 First Street Nw, Washington, DC 20012 | 2008-01-29 |
| 1700063161 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 3112 Walnut Street Ne, Washington, DC 20018 | 2008-01-29 |
| 1396860615 | Individual Development Inc | Nursing Facility/Intermediate Care Facility | 1230 Congress Street Se, Washington, DC 20032 | 2007-03-20 |
| Street Address |
2620 24TH STREET NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560980 | Innovative Life Solutions. Inc. | Intermediate Care Facility, Mentally Retarded | 5306 Eastern Ave Ne, Washington, DC 20011-2717 | 2015-02-09 |
| 1992058093 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 2553 36th St Se, Washington, DC 20020-1215 | 2012-10-26 |
| 1356694848 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 3112 Walnut St Ne, Washington, DC 20018-4016 | 2012-10-21 |
| 1518228063 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 5000 E Capitol St Ne, Washington, DC 20019-5326 | 2012-05-31 |
| 1770843526 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 431 53rd St Se, Washington, DC 20019-6171 | 2012-05-25 |
| 1184984064 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 1st St Nw, Washington, DC 20012-2124 | 2012-05-24 |
| 1336409218 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 3020 Stanton Rd Se, Washington, DC 20020-7866 | 2012-05-24 |
| 1801156781 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 1230 Congress St Se, Washington, DC 20032-4543 | 2012-05-24 |
| 1598025694 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 4515 Edson Pl Ne, Washington, DC 20019-4768 | 2012-05-22 |
| 1164735817 | Progressive Habilitative Services, Inc | Intermediate Care Facility, Mentally Retarded | 6405 Chillum Pl Nw, Washington, DC 20012-2133 | 2010-07-23 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
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| 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.