Javan Anti Aging and Wellness Institute
Clinic/Center

Address: 1626 U St Nw, Washington, DC 20009
Phone: 2028685993

Javan Anti Aging and Wellness Institute (NPI# 1124596317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124596317
Entity Type Organization
Organization Name JAVAN ANTI AGING AND WELLNESS INSTITUTE
Practice Address 1626 U St Nw
Washington
DC 20009
Practice Telephone 2028685993
Mailing Address 1626 U St Nw
Washington
DC 20009-6210
Mailing Telephone 2028685993
Authorized Official Name Corinne A Parent (IV INFUSION THERAPY)
Authorized Official Telephone 3015095557
Authorized Official Credential PHLEBOTOMIST
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-11-06
Last Update Date 2018-11-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
MD D0076873 OTHER LICENSE

Secondary Practice Locations

Address Telephone Number Fax Number
4201 Northview Dr Ste 104, Bowie, MD 207162604 4108004466

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Office Location

Street Address 1626 U ST NW
City WASHINGTON
State DC
Zip Code 20009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508225525 A Woman's Place, Inc. Prosthetic/Orthotic Supplier 1626 U St Nw, Washington, DC 20009-6210 2016-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724515 Ana Serra Social Worker Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 2020-06-10
1477052272 Shaw Family Dentistry Pllc Dentist 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 2018-02-07
1942728597 Emily Schwaber Speech-Language Pathologist 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 2017-09-05
1649792581 Kalorama Pharmacy Inc. Pharmacy 1841 Columbia Rd Nw, Washington, DC 20009 2017-07-12
1700313707 Salome Fomukong Home Health Aide 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 2017-05-22
1912432436 Mcclain Eyewear Eyewear Supplier 1514 U Street Nw, Washington, DC 20009 2017-04-21
1487195624 Jasmine Thomas Home Health Aide 1440 W St Nw #b1, Washington, DC 20009 2017-03-20
1760923361 Natasha Khawaja Family Medicine Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 2017-03-15
1134672520 Margaret Ache Tata Tanwani Home Health Aide 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 2016-08-02
1508226010 Allison Saba Counselor 2205 18th Street Nw #310, Washington, DC 20009 2016-02-25
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Competitor

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City WASHINGTON
Zip Code 20009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.