COMMUNITY INTEGRATED CARE MANAGEMENT (NPI# 1053525824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053525824 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTEGRATED CARE MANAGEMENT |
| Other Organization Name | MEDICAL DOCTOR CALL |
| Practice Address |
1615 Rhode Island Ave Ne Washington DC 20018-1802 |
| Practice Telephone | 2022694511 |
| Practice Fax Number | 2022693895 |
| Mailing Telephone | 2022694511 |
| Mailing Fax Number | 2022693895 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | MR. MICHAEL MCCONNELL (COO) |
| Authorized Official Telephone | 7039550544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Doctor Call | Other Name - Individual/Organization |
| Street Address |
1615 RHODE ISLAND AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574946 | Brentrell Marie Spencer | Social Worker | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2020-09-29 |
| 1962028548 | Adeline Benovil | Social Worker | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2020-06-19 |
| 1447716733 | Nya Health Services Inc | Clinic/Center | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2019-02-12 |
| 1528582095 | Ashley Holmes | Social Worker | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2017-07-26 |
| 1891237301 | Dymentum Health, LLC | Community/Behavioral Health | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2016-11-15 |
| 1073971669 | Christina Phillips | Nurse Practitioner | 1615 Rhode Island Ave Ne, 1st Floor, Washington, DC 20018-1802 | 2016-02-10 |
| 1538581483 | Trinity Wellness Clinic LLC | Clinic/Center | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2014-01-13 |
| 1457504128 | Obiora M. Ogbuawa, Mdpc | Specialist | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2008-10-28 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629237037 | Childrens Health Center At Shaw | Clinic/Center | 2200 11th Street Nw, Washington, DC 20001 | 2008-06-02 |
| 1710163605 | Rap, Inc. | Clinic/Center | 1949 4th St Ne, Washington, DC 20002-1211 | 2008-01-10 |
| 1669033106 | Preventive Measure of Washington Dc, LLC | Clinic/Center | 7826 Eastern Ave Nw Ste 201, Washington, DC 20012-1333 | 2019-06-25 |
| 1396303616 | Restoration 1:99 | Clinic/Center | 600 W St Ne, Washington, DC 20002-1285 | 2019-06-01 |
| 1376095083 | Metro Health Inc. | Clinic/Center | 801 Pennsylvania Ave Se Ste 201, Washington, DC 20003-2152 | 2016-10-28 |
| 1326426594 | Whitman Walker Health | Clinic/Center | 1525 14th St Nw, Washington, DC 20005-3706 | 2015-05-08 |
| 1962880138 | Whitman-walker Health | Clinic/Center | 1525 14th St Nw, Washington, DC 20005-3706 | 2015-05-08 |
| 1982023289 | Total Medical Care | Clinic/Center | 6323 Georgia Ave Nw, #210, Washington, DC 20011-1101 | 2014-04-15 |
| 1811216583 | Capital Breast Care Center | Clinic/Center | 650 Pennsylvania Ave Se, Suite 230, Washington, DC 20003-4318 | 2010-05-20 |
| 1124268917 | Rap, Inc. | Clinic/Center | 1949 4th St Ne, Washington, DC 20002-1211 | 2009-03-06 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
Please comment or provide details below to improve the information on COMMUNITY INTEGRATED CARE MANAGEMENT.
| 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.