Provider Demographics
NPI:1821776378
Name:ONEVILLAGE PBC
Entity Type:Organization
Organization Name:ONEVILLAGE PBC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:YESAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-380-3159
Mailing Address - Street 1:3206 ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4036
Mailing Address - Country:US
Mailing Address - Phone:212-380-3159
Mailing Address - Fax:
Practice Address - Street 1:3206 ROLLING RD
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4036
Practice Address - Country:US
Practice Address - Phone:212-380-3159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty