Petra Jua
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 2205 16th St Se, Washington, DC 20020-4333
Phone: 3013708049

Petra Jua (NPI# 1003451873) 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) 1003451873
Entity Type Individual
Full Name Petra Jua
Gender Female
Practice Address 2205 16th St Se
Washington
DC 20020-4333
Practice Telephone 3013708049
Mailing Address 25 E Wayne Ave # M706
Silver Spring
MD 20901-4264
Mailing Telephone 3013708949
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-11-15
Last Update Date 2019-11-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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1396202511 Umbrella Health Services LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2301 Georgia Ave Nw, Washington, DC 20001-3000 2019-02-24
1184180408 N2 Care Services LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 61 Washington Square Cir, Washington, NJ 07882-2486 2019-02-11
1760989917 Innovative Life Solutions Inc Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1703 Frankford St Se, Washington, DC 20020-6309 2018-04-12
1942729694 Human Development Coalition Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 313 Parkland Pl Se, Washington, DC 20032-1601 2017-09-13
1760900633 The Arc, Warren County Chapter Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 21 Whites Rd, Washington, NJ 07882-3614 2017-08-31
1841718681 The Arc, Warren County Chapter Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 66 Park Ave Apt G2, Washington, NJ 07882-1847 2017-08-31
1659899490 The Arc, Warren County Chapter Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 66 Park Ave Apt E13, Washington, NJ 07882-1846 2017-08-31
1477071470 The Arc, Warren County Chapter Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 201 W. Washington Ave., Apt. # 8, Washington, NJ 07882 2017-08-30
1194250563 Center for Humanistic Change of Nj, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 20 Birchwood Ave, Washington, NJ 07882-2348 2017-04-24
1639601362 Beaufort County Developmental Center, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 670 Tarboro St, Washington, NC 27889-4153 2017-03-31
Find all providers in WASHINGTON

Office Location

Street Address 2205 16TH ST SE
City WASHINGTON
State DC
Zip Code 20020-4333

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316581002 Kamara King Hospitalist 2754 Bruce Pl Se, Washington, DC 20020 2019-11-05
1639720394 Denise Anderson Technician 2401 Bryan Pl S.e, Washington, DC 20020 2019-09-24
1629628664 Rayniece Ann Johnson Technician 1641 W.st Se #303, Washington, DC 20020 2019-09-11
1780245787 Connie Kitchings Technician 2800 Shipley Terrace Se, Washington, DC 20020 2019-06-21
1750843553 Chloe Rebecca Zaitlin Psychologist 2600 Douglass Rd. Se, Washington, DC 20020 2019-04-02
1356814974 Ferris Antwan Alston Technician 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 2019-01-07
1083182471 Aaron Joshua Jones Technician 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 2018-11-05
1053899799 Lawann Spencer Technician 2335 Green St. Se, Washington, DC 20020 2018-08-03
1447738521 Camille Moss Social Worker 2616 Mlk Jr. Ave. Se, Washington, DC 20020 2018-08-01
1770060386 Andrea Hargrove Home Health Aide 2422 Elvans Rd Se Apt 303, Washington, DC 20020 2018-07-26
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Competitor

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City WASHINGTON
Zip Code 20020

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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.

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