MEDICARE: MYSTREETHEALTH LIMITED LIABILITY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1548820780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYSTREETHEALTH LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	2020 PENNSYLVANIA AVE NW # 131
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 WILSON BLVD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-2433
Country	:	US
Telephone Number	:	888-835-9995
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	N ELIAS
Credential	:
Telephone Number	:	703-688-2222

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	05/08/2023

Similar Medicare Providers

1659302388 — BARCLAYS HOME HEALTHCARE SERVICES,INC.
Practice Location Address:

2433 B SOUTH COLLINS
ARLINGTON, TX
76014

Practice Phone: 817-276-8011
Practice Fax: 817-794-0610

1417123357 — RAYMOND A ONI R.N.
Practice Location Address:

5626 CREEKHOLLOW DR
ARLINGTON, TX
76018-2433

Practice Phone: 469-583-4564
Practice Fax: 817-557-5434

1558861393 — JENNA-LISE HELEN NEILSON RN
Practice Location Address:

2626 SCENIC POINT TRL APT 2433
ARLINGTON, TX
76006-2635

Practice Phone: 512-663-7434
Practice Fax:

1598468332 — JACOBS CHIROPRACTIC LLC
Practice Location Address:

2433 26TH RD S
ARLINGTON, VA
22206-2819

Practice Phone: 703-892-0430
Practice Fax:

1194282111 — TINA M TRIPP NP
Practice Location Address:

1101 WILSON BLVD FL 6
ARLINGTON, VA
22209-2281

Practice Phone: 888-731-8994
Practice Fax:

1538638028 — MAMIE ELIZABETH RAMCHANDANI APRN, WHNP-BC
Practice Location Address:

1101 WILSON BLVD FL 6
ARLINGTON, VA
22209-2281

Practice Phone: 888-731-8994
Practice Fax:

Directions to “MYSTREETHEALTH LIMITED LIABILITY COMPANY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.