Healthcare Provider Details

I. General information

NPI: 1003680380
Provider Name (Legal Business Name): CARENATIONDC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2904 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-2522
US

IV. Provider business mailing address

2904 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-2522
US

V. Phone/Fax

Practice location:
  • Phone: 240-432-1682
  • Fax: 202-772-1601
Mailing address:
  • Phone: 202-381-0280
  • Fax: 202-772-1601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOYCE ABEL MMARI
Title or Position: CEO
Credential: OWNER
Phone: 240-432-1682