INDIVIDUAL DEVELOPMENT INC (NPI# 1205014347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205014347 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL DEVELOPMENT INC |
| Practice Address |
3020 Stanton Road Se Washington DC 20020 |
| Mailing Address |
1420 N Street Nw Suite #9 Washington DC 20005 |
| Practice Telephone | 2026102724 |
| Practice Fax Number | 2026101019 |
| 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 |
| 1033397179 | Individual Development Inc | Intermediate Care Facility, Mentally Retarded | 2620 24th Street Ne, Washington, DC 20018 | 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 |
3020 STANTON ROAD SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| 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 | 20020 |
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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.