ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN (NPI# 1639168743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639168743 |
| Entity Type | Organization |
| Organization Name | ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN |
| Other Organization Name | LISNER-LOUISE-DICKSON-HURT HOME |
| Practice Address |
5425 Western Ave Nw Washington DC 20015-2931 |
| Practice Telephone | 2029666667 |
| Practice Fax Number | 2023620360 |
| Mailing Telephone | 2029666667 |
| Mailing Fax Number | 2023620360 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MR. L. WARD OREM (ADMINISTRATOR) |
| Authorized Official Telephone | 2029666667 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | HFD020015 | DC | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | ALR-0002 | DC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lisner-Louise-Dickson-Hurt Home | Doing Business As Name - Organization |
| Street Address |
5425 WESTERN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20015-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902431430 | Adaku Ugonna Nwadigo | Nurse Practitioner | 5425 Western Ave Nw, Washington, DC 20015-2931 | 2020-03-04 |
| 1508353111 | Sudheer Reddy Nadikattu | Physical Therapist | 5425 Western Ave Nw, Washington, DC 20015-2931 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265944 | Family Orthodontics of Dc Pllc | Dentist | 5301 Wisconsin Ave Nw Ste 200, Washington, DC 20015 | 2018-02-12 |
| 1417351578 | Kelly Barnes | Registered Nurse | 3608 Rittenhouse St Nw, Washington, DC 20015 | 2014-10-20 |
| 1093143729 | Diana Kwan | Pharmacist | 5335 Wisconsin Ave, Washington, DC 20015 | 2013-10-15 |
| 1265867790 | Kimberly Roberts Perks | Occupational Therapist | 3200 Military Rd Nw, Washington, DC 20015 | 2013-09-03 |
| 1013356708 | Jason Douglas Wemmers | Psychologist | 5225 Wisconsin Ave, Nw, Suite 400, Washington, DC 20015 | 2013-06-17 |
| 1427364256 | Saralyn Mark | Internal Medicine | 4208 Ingomar St, Nw, Washington, DC 20015 | 2010-08-31 |
| 1205061108 | Stanley Isaac Rapoport | General Practice | 3050 Military Road Nw, Apt. 935, Washington, DC 20015 | 2009-05-20 |
| 1447410113 | Bonnie Cho | Dentist | 5212 Connecticut Ave Nw, Washington, DC 20015 | 2008-06-16 |
| 1184804015 | Daniel Samuel Pine | Psychiatry & Neurology | 5225 Wisconsin Avenue Nw, Suite 400 The Ross Center, Washington, DC 20015 | 2007-11-08 |
| 1821291659 | John M Dluhy Jr. | Psychiatry & Neurology | 3709 Ingomar St Nw, Washington, DC 20015 | 2007-06-08 |
| Find all providers in zip 20015 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415041 | Bra Health Care Services, LLC | Assisted Living Facility | 900 K St Ne, Washington, DC 20002-3724 | 2020-01-02 |
| 1174082549 | Paradise At Georgia Ave, LLC | Assisted Living Facility | 5100 Georgia Ave Nw, Washington, DC 20011-3958 | 2019-03-15 |
| 1093282782 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 1078 N Coral Canyon Blvd, Washington, UT 84780-2777 | 2018-10-31 |
| 1386164705 | Eckington House Mental Health Service LLC | Assisted Living Facility | 3030 30th St Se, Washington, DC 20020-1674 | 2017-06-27 |
| 1831596782 | Nissi Homes LLP | Assisted Living Facility | 5915 Dix St Ne, Washington, DC 20019-6968 | 2014-11-20 |
| 1366850885 | Iyeshia Anderson | Assisted Living Facility | 500 44th St Ne, Washington, DC 20019-8044 | 2014-07-28 |
| 1851729529 | 2905 Alf, LLC | Assisted Living Facility | 2905 11th St Nw, Washington, DC 20001-3903 | 2013-10-16 |
| 1265865349 | Assisted Living Centers of America,llc | Assisted Living Facility | 1717 Pennsylvania Ave Nw Ste 1025, Washington, DC 20006-3951 | 2013-08-13 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1558659029 | Victorian Manor of Washington, Inc | Assisted Living Facility | 2800 Rabbit Trail Dr, Washington, MO 63090-6737 | 2011-07-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20015 |
Please comment or provide details below to improve the information on ABRAHAM AND LAURA LISNER HOME FOR AGED WOMEN.
| 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.