NPI Code Details Logo

NPI 1790830982

NPI 1790830982 : THE METHODIST HOME OF THE DISTRICT OF COLUMBIA : WASHINGTON, DC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790830982
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE METHODIST HOME OF THE DISTRICT OF COLUMBIA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/25/2007
-----------------------------------------------------
    Last Update Date     |    01/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4901 CONNECTICUT AVE NW 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20008-2022
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-966-7623
-----------------------------------------------------
    Fax                  |    202-777-3335
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4901 CONNECTICUT AVE NW 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20008-2022
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-966-7623
-----------------------------------------------------
    Fax                  |    202-777-3335
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CONTROLLER
-----------------------------------------------------
    Name                 |    MRS. ANNE-MARIE  AIELLO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    202-966-7623
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    310400000X
-----------------------------------------------------
    Taxonomy Name        |    Assisted Living Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    314000000X
-----------------------------------------------------
    Taxonomy Name        |    Skilled Nursing Facility
-----------------------------------------------------
    License Number       |    HFD02-0004
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.