ELAINE ELLIS CENTER OF HEALTH, INC. (NPI# 1427331461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427331461 |
| Entity Type | Organization |
| Organization Name | ELAINE ELLIS CENTER OF HEALTH, INC. |
| Practice Address |
1627 Kenilworth Ave Ne Washington DC 20019-2010 |
| Mailing Address |
10508 Jib Ct Cheltenham MD 20623-1329 |
| Practice Telephone | 2024252313 |
| Practice Fax Number | 2023991570 |
| Mailing Telephone | 2024252313 |
| Mailing Fax Number | 3017735209 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | JACQUELYN R WALKER (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2024252313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710183 | Elaine Ellis Center of Health, Inc. | Clinic/Center | 10001 Rhode Island Ave, College Park, MD 20740-1141 | 2020-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELAINE ELLIS CENTER OF HEALTH, INC. | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 |
| Street Address |
1627 KENILWORTH AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008792 | Mejebi T Mayor | Obstetrics & Gynecology | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2006-07-04 |
| 1073025458 | Abosede O Sobo | Nurse Practitioner | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2017-10-25 |
| 1699126268 | Ashli Cumberbatch | Dentist | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2016-06-24 |
| 1215382247 | Dale Marshall | Counselor | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2016-04-27 |
| 1154708204 | Erin Latrice Palmer | Registered Nurse | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1487123758 | Community of Hope Inc. | Clinic/Center | 4225 6th St Se, Washington, DC 20032-3613 | 2018-11-16 |
| 1821584921 | Marys Center for Maternal and Child Care Inc | Clinic/Center | 4302 Georgia Ave Nw, Washington, DC 20011-7122 | 2018-07-02 |
| 1447606462 | Community of Hope, Inc. | Clinic/Center | 1413 Girard St Nw, Washington, DC 20009-4611 | 2016-05-09 |
| 1033461132 | Mary's Center for Maternal and Child Care, Inc. | Clinic/Center | 3531 Georgia Ave Nw, Washington, DC 20010-1707 | 2012-10-12 |
| 1891980827 | Compass Health, Inc. | Clinic/Center | 851e 5th Street,suite 132, Washington, MO 63090-3128 | 2007-09-12 |
| 1093915357 | Unity Health Care, Inc | Clinic/Center | 1333 N St Nw, Washington, DC 20005-3601 | 2007-07-24 |
| 1710006838 | Unity Health Care, Inc | Clinic/Center | 945 G St Nw, Washington, DC 20001-4531 | 2007-03-28 |
| 1922127984 | Unity Health Care, Inc | Clinic/Center | 651 10th St Ne, Washington, DC 20002-5315 | 2007-03-28 |
| 1114046174 | Unity Health Care, Inc | Clinic/Center | 1725 Lincoln Rd Ne, Washington, DC 20002-2115 | 2007-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
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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.