STODDARD BAPTIST HOME (NPI# 1962559104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962559104 |
| Entity Type | Organization |
| Organization Name | STODDARD BAPTIST HOME |
| Other Organization Name | STODDARD BAPTIST NURSING HOME |
| Practice Address |
1818 Newton St Nw Washington DC 20010-1017 |
| Practice Telephone | 2023287400 |
| Practice Fax Number | 2023280421 |
| Mailing Telephone | 2023287400 |
| Mailing Fax Number | 2023280421 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | MRS. MA,REMEDIOS JOSE-JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2023287400 |
| Authorized Official Credential | RN, LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | HFD02-0019 | DC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 029880400 | 05 |
| Other Name | Type Code |
|---|---|
| Stoddard Baptist Nursing Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STODDARD BAPTIST HOME FOUNDATION INC | 1818 Newton St Nw, Washington, DC 20010-1017 |
| Street Address |
1818 NEWTON ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163897 | Yalixsa Delgado | Occupational Therapist | 1818 Newton St Nw, Washington, DC 20010-1017 | 2020-08-01 |
| 1104486125 | Katherine Leslie Johnson | Speech-Language Pathologist | 1818 Newton St Nw, Washington, DC 20010-1017 | 2019-06-20 |
| 1861058570 | Olufunke Abidemi Taiwo | Nurse Practitioner | 1818 Newton St Nw, Washington, DC 20010-1017 | 2019-05-17 |
| 1881151959 | Michele Onwochei | Speech-Language Pathologist | 1818 Newton St Nw, Washington, DC 20010-1017 | 2019-02-26 |
| 1013480698 | Tsegie Kassahun | Occupational Therapist | 1818 Newton St Nw, Washington, DC 20010-1017 | 2019-01-07 |
| 1609349604 | Abram Waugh | Occupational Therapy Assistant | 1818 Newton St Nw, Washington, DC 20010-1017 | 2019-01-02 |
| 1477029932 | Joy Black | Home Health Aide | 1818 Newton St Nw, Washington, DC 20010-1017 | 2018-10-22 |
| 1750868154 | Tigist Belay | Home Health Aide | 1818 Newton St Nw, Washington, DC 20010-1017 | 2018-07-27 |
| 1528578945 | Jennifer Lea Stuart | Speech-Language Pathologist | 1818 Newton St Nw, Washington, DC 20010-1017 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841688298 | Daviess County Hospital | Skilled Nursing Facility | 1694 Troy Rd, Washington, IN 47501-8211 | 2015-01-07 |
| 1891124103 | Jamie Lilley | Skilled Nursing Facility | 1734 John Small Ave, Washington, NC 27889-7387 | 2013-11-06 |
| 1396010781 | Supplemental Health Care | Skilled Nursing Facility | 1759 W 5th St, Washington, NC 27889-4003 | 2012-03-19 |
| 1558657114 | Kyle Lee Decker | Skilled Nursing Facility | 504 E Telegraph St Unit 81, Washington, UT 84780-8851 | 2011-06-22 |
| 1063710812 | Eban Health Services Inc | Skilled Nursing Facility | 3502 18th St.. Ne, Suite 1, Washington, DC 20018 | 2011-03-03 |
| 1619136025 | Peoplefirst | Skilled Nursing Facility | 250 Lovers Lane, Washington, NC 27889 | 2008-06-02 |
| 1093983827 | Rock Creek Nursing Center Inc | Skilled Nursing Facility | 2131 O St Nw, Washington, DC 20037-1008 | 2008-02-14 |
| 1275713463 | The Medilodge Group, Inc. | Skilled Nursing Facility | 64500 Van Dyke Rd, Washington, MI 48095-2583 | 2007-11-06 |
| 1316005069 | Jb Johnson Nursing Center | Skilled Nursing Facility | 901 1st St Nw, Washington, DC 20001-1403 | 2006-12-05 |
| 1871666982 | Extendicare Homes, Inc. | Skilled Nursing Facility | 2119 E National Hwy, Washington, IN 47501-4507 | 2006-11-16 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.