Provider Demographics
NPI:1437211638
Name:LITTLE SISTERS OF THE POOR OF WASHINGTON DC
Entity Type:Organization
Organization Name:LITTLE SISTERS OF THE POOR OF WASHINGTON DC
Other - Org Name:JEANNE JUGAN RESIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SISTER CECILE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERINGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-269-1831
Mailing Address - Street 1:4200 HAREWOOD RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1511
Mailing Address - Country:US
Mailing Address - Phone:202-269-1831
Mailing Address - Fax:202-269-1134
Practice Address - Street 1:4200 HAREWOOD RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1511
Practice Address - Country:US
Practice Address - Phone:202-269-1831
Practice Address - Fax:202-269-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD020016313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility