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HISTORIC HEALTHCARE SERVICES, LLC
NPI 1518678044
Clinic/Center - Developmental Disabilities in Washington, DC

Active since December 06, 2022
1629 K ST NW, WASHINGTON, DC 20006(301) 332-9778 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Historic Healthcare Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HISTORIC HEALTHCARE SERVICES, LLC (NPI 1518678044) is a healthcare organization registered as a developmental disabilities in Washington, District Of Columbia and active in the NPI registry since December 2022. The organization lists Joebrian Lemnyuytar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518678044
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameHISTORIC HEALTHCARE SERVICES, LLC
Location Address1629 K ST NWWashington, DC 20006-1602
Mailing Address1629 K St NwWashington, DC 20006-1602 · (301) 332-9778
Phone(301) 332-9778
Organization SubpartNo
Authorized OfficialJoebrian LemnyuytarCeo · (240) 495-8331
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1518678044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1629 K ST NW, Washington, DC 20006
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SCHUYLER CUNNINGHAM MSW, LICSW
Social Worker (Clinical)
1629 K ST NW, SUITE 300
WASHINGTON, DC 20006
District of Columbia (202) 999-2884
MS. GEETHA DESIKAN LPC, CEAP, NCC
Counselor (Professional)
1629 K ST NW, SUITE 300
WASHINGTON, DC 20006
District of Columbia (703) 283-6517
ALMA MERIDIAN, PLLC
Social Worker (Clinical)
1629 K ST NW, SUITE 300
WASHINGTON, DC 20006
District of Columbia (703) 888-6229
MESLYN HEALTH CARE, LLC
Clinic/Center (Developmental Disabilities)
1629 K ST NW
WASHINGTON, DC 20006
District of Columbia (202) 528-1207
NATALIE TERWILLIGER
Case Manager/Care Coordinator
1629 K ST NW
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
LIVING ALTERNATIVES CARE
Clinic/Center (Developmental Disabilities)
1629 K ST NW
WASHINGTON, DC 20006
District of Columbia (240) 463-4219
TRAVIS BRUCE
Case Manager/Care Coordinator
1629 K ST NW
WASHINGTON, DC 20006
District of Columbia (202) 745-0073
JERRI L ANGLIN MSW
Social Worker (Clinical)
1629 K ST NW
WASHINGTON, DC 20006
District of Columbia (202) 422-8063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Historic Healthcare Services, LLC's NPI number?

The NPI number for Historic Healthcare Services, LLC is 1518678044. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Historic Healthcare Services, LLC located?

Historic Healthcare Services, LLC is located at 1629 K St NW, Washington, DC 20006. The listed phone number is (301) 332-9778.

What is Historic Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Historic Healthcare Services, LLC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.