GOSPEL RESCUE MINISTRIES OF WASHINGTON, DC, INC. (NPI# 1184955759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184955759 |
| Entity Type | Organization |
| Organization Name | GOSPEL RESCUE MINISTRIES OF WASHINGTON, DC, INC. |
| Practice Address |
810 5th St Nw Washington DC 20001-2622 |
| Practice Telephone | 2028421731 |
| Practice Fax Number | 2028980285 |
| Mailing Telephone | 2028421731 |
| Mailing Fax Number | 2028980285 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | MR. MICHAEL J CORTESE (EXECUTIVE DIRECTOR AND PRESIDENT) |
| Authorized Official Telephone | 2028421731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
091709A-205 | DC | Ambulatory Health Care Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 012301RW-116 | DC | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 012201R-098 | DC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 039475700 | 05 |
| Street Address |
810 5TH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20001-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943037 | Clement Mbanefo Efobi | Nurse Practitioner | 810 5th St Nw, Washington, DC 20001-2622 | 2019-10-10 |
| 1467967398 | Lasara Kelley | Technician | 810 5th St Nw, Washington, DC 20001-2622 | 2017-12-14 |
| 1548613730 | Gayle K. Juenemann | Nurse Practitioner | 810 5th St Nw, Washington, DC 20001 | 2016-07-22 |
| 1073976387 | Unity Health Care, Inc. | Clinic/Center | 810 5th St Nw, Washington, DC 20001-2622 | 2016-04-04 |
| 1891191946 | Mercy Eseme | Nurse Practitioner | 810 5th St Nw, Washington, DC 20001 | 2014-11-17 |
| 1255658100 | Judy Wenger Ashburn | Counselor | 810 5th St Nw, Washington, DC 20001-2622 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762673 | Muslimah Annjinnah Shaffi | Home Health Aide | Perry Health System, 128 M Street N.w., Washington Dc, DC 20001 | 2020-05-21 |
| 1275197378 | Marica Donisha Robinette | Home Health | 471 G Place, Nw, #32, Washington, DC 20001 | 2019-04-24 |
| 1689147571 | Maria R Barrera | Counselor | 440 L St Nw, Unit 610, Washington, DC 20001 | 2019-01-03 |
| 1083185086 | Corneesha Donielle Banks | Technician | 307 Kst Nw, #309, Washington, DC 20001 | 2018-12-17 |
| 1548730138 | Briana Shayron Smith | Technician | 150 Q St Ne 1427, Washington, DC 20001 | 2018-11-27 |
| 1235609876 | Edward Bruce Lawson | Technician | 3400 Banneker Dr 425, Northeast, DC 20001 | 2018-11-27 |
| 1740760750 | Minchu Chen | Acupuncturist | 1410, 9th Street Nw #1, First Floor, Washington, DC 20001 | 2018-08-19 |
| 1821574005 | Kimberly Ann Bell | Home Health Aide | 27 O St Nw #4, Washington, DC 20001 | 2018-07-11 |
| 1558859926 | Joan Avis Williams | Home Health Aide | Unique Resident Care Center, 901 First Street Nw, Washington, DE 20001 | 2018-05-01 |
| 1497274088 | Gabriela Andrea Jatene | Speech-Language Pathologist | 450 K Street Nw, Apt 306, Washington, DC 20001 | 2017-09-14 |
| Find all providers in zip 20001 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780194076 | Samaritan Inns, Inc. | Substance Abuse Rehabilitation Facility | 1422 Harvard St Nw, Washington, DC 20009-4610 | 2017-10-02 |
| 1417387358 | Uplifting Sisters | Substance Abuse Rehabilitation Facility | 1516 K St Se # 204, Washington, DC 20003-3239 | 2013-11-13 |
| 1134483464 | Second Genesis Inc | Substance Abuse Rehabilitation Facility | 1320 Harvard St Nw, Washington, DC 20009-4904 | 2012-07-02 |
| 1962793794 | Pilgrim Rest Baptist Therapeutic Services, Inc | Substance Abuse Rehabilitation Facility | 4601 Sheriff Rd Ne, Washington, DC 20019-3704 | 2011-04-27 |
| 1437455516 | Samaritan Inns, Inc. | Substance Abuse Rehabilitation Facility | 2523 14th St Nw, Washington, DC 20009-6952 | 2011-02-07 |
| 1346427630 | Neighbors Consejo | Substance Abuse Rehabilitation Facility | 3118 16th St Nw, Washington, DC 20010-3301 | 2008-01-29 |
| 1215113097 | Holy Comforter-st. Cyprian Community Action Group | Substance Abuse Rehabilitation Facility | 3323 13th St Se, Washington, DC 20032-4533 | 2008-01-11 |
| 1083899454 | Holy Comforter-st. Cyprian Community Action G | Substance Abuse Rehabilitation Facility | #16 17th Street, Ne, Washington, DC 20002 | 2008-01-04 |
| 1508041880 | Holy Comforter-st. Cyprian Community Action G | Substance Abuse Rehabilitation Facility | 3321 13th Street, Se, Washington, DC 20032 | 2008-01-04 |
| 1497930796 | Greater Mt. Calvary Holy Church | Substance Abuse Rehabilitation Facility | 802 Rhode Island Ave Ne, Washington, DC 20018-1732 | 2008-01-04 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20001 |
Please comment or provide details below to improve the information on GOSPEL RESCUE MINISTRIES OF WASHINGTON, DC, INC..
| 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.