Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Healthcare Services, LLC

Organization Community/Behavioral Health Agency · NPI 1821559865

Providence Healthcare Services, LLC is a Community/Behavioral Health Agency in Washington, District of Columbia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 I St NE Ste 110
Washington, DC 20002-4365
Phone: (202) 486-1894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1821559865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adelaide Etse — Cfo · (301) 841-8907
NPI enumeratedMarch 30, 2019
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address220 I St Ne Ste 110, Washington, DC 20002-4365

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