Healthcare Provider Details

I. General information

NPI: 1790395275
Provider Name (Legal Business Name): THE VERLYN GROUP DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2020
Last Update Date: 08/09/2020
Certification Date: 08/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 H ST NE STE 201
WASHINGTON DC
20002-4406
US

IV. Provider business mailing address

1341 H ST NE STE 201
WASHINGTON DC
20002-4406
US

V. Phone/Fax

Practice location:
  • Phone: 202-399-2116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER THOMPKINS
Title or Position: COO
Credential: DOCTORATE
Phone: 202-399-2116