Healthcare Provider Details

I. General information

NPI: 1730038423
Provider Name (Legal Business Name): COMMUNITY HEALTHCARE SERVICES LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

8908 LAKE BRADDOCK DR
BURKE VA
22015-2128
US

V. Phone/Fax

Practice location:
  • Phone: 240-462-1328
  • Fax:
Mailing address:
  • Phone: 240-462-1328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN JIOFACK-TAR
Title or Position: CEO
Credential: PHD
Phone: 240-462-1328