Healthcare Provider Details

I. General information

NPI: 1790830982
Provider Name (Legal Business Name): THE METHODIST HOME OF THE DISTRICT OF COLUMBIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 CONNECTICUT AVE NW
WASHINGTON DC
20008-2022
US

IV. Provider business mailing address

4901 CONNECTICUT AVE NW
WASHINGTON DC
20008-2022
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-7623
  • Fax: 202-777-3335
Mailing address:
  • Phone: 202-966-7623
  • Fax: 202-777-3335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberHFD02-0004
License Number StateDC

VIII. Authorized Official

Name: MRS. ANNE-MARIE AIELLO
Title or Position: CONTROLLER
Credential:
Phone: 202-966-7623