1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Clinic Center
  6. NPI Profile

PROVIDENCE HEALTHCARE SERVICES, LLC
NPI 1821559865
Clinic/Center - Rehabilitation, Substance Use Disorder in Washington, DC

Active since March 30, 2019
220 I ST NE STE 110, WASHINGTON, DC 20002(202) 486-1894 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Oct 16, 2020 (2 updates tracked since 2020).

About Providence Healthcare Services, Llc NPPES

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

PROVIDENCE HEALTHCARE SERVICES, LLC (NPI 1821559865) is a healthcare organization registered as a rehabilitation, substance use disorder in Washington, District Of Columbia and active in the NPI registry since March 2019. The organization lists Adelaide Etse, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821559865
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES, LLC
Location Address220 I ST NE STE 110Washington, DC 20002-4365
Mailing Address220 I St Ne Ste 110Washington, DC 20002-4365 · (202) 486-1894
Phone(202) 486-1894
Organization SubpartNo
Authorized OfficialAdelaide EtseCfo · (301) 841-8907
Enumeration DateMarch 30, 2019
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1821559865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
220 I ST NE STE 110, Washington, DC 20002
Open in Google Maps ↗

Other Identifiers 1

Other070220-430DC · Department Of Behavioral Health

Other Providers at the Same Location NPPES 2

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

MR. TYRONE POWELL
Case Manager/Care Coordinator
220 I ST NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 290-2234
MS. RITA GRAY
Case Manager/Care Coordinator
220 I ST NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 290-2344

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 Providence Healthcare Services, LLC's NPI number?

The NPI number for Providence Healthcare Services, LLC is 1821559865. It was assigned to this organization in the NPPES registry on March 30, 2019.

Where is Providence Healthcare Services, LLC located?

Providence Healthcare Services, LLC is located at 220 I St NE Ste 110, Washington, DC 20002. The listed phone number is (202) 486-1894.

What is Providence Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Providence Healthcare Services, LLC was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.