STELLAR HEALTH LLC


Address: 1818 New York Ave Ne Ste 110c, Washington, DC 20002-1849
Phone: 2026365136

STELLAR HEALTH LLC (NPI# 1225540214) 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) 1225540214
Entity Type Organization
Organization Name STELLAR HEALTH LLC
Practice Address 1818 New York Ave Ne Ste 110c
Washington
DC 20002-1849
Practice Telephone 2026365136
Mailing Telephone 2026365136
Enumeration Date 2017-10-30
Last Update Date 2017-10-30
Authorized Official Name DR. ADEFOLAJU OKETOKUN (MEDICAL DIRECTOR)
Authorized Official Telephone 3018320100
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management MD038372 DC Agencies
N 251C00000X Day Training, Developmentally Disabled Services MD038372 DC Agencies
N 253Z00000X In Home Supportive Care MD038372 DC Agencies
N 261QA0600X Clinic/Center
Specialization: Adult Day Care
MD038372 DC Ambulatory Health Care Facilities
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
MD038372 DC Ambulatory Health Care Facilities
N 323P00000X Psychiatric Residential Treatment Facility MD038372 DC Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility MD038372 DC Residential Treatment Facilities
Y 251S00000X Community/Behavioral Health MD038372 DC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
DC 1003005661 05

Office Location

Street Address 1818 NEW YORK AVE NE STE 110C
City WASHINGTON
State DC
Zip Code 20002-1849

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1043851868 J. Francis Black LLC Community/Behavioral Health 3000 Connecticut Ave Nw Ste 137, Washington, DC 20008-2549 2019-10-02
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Competitor

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City WASHINGTON
Zip Code 20002

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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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