PBJ HEALTHCARE SERVICES LLC – NPI #1740801638
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

PBJ HEALTHCARE SERVICES LLC is a community based residential treatment facility located in WASHINGTON, DC. NPPES has assigned the NPI number 1740801638 to PBJ HEALTHCARE SERVICES LLC on May 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PBJ HEALTHCARE SERVICES LLC below.

NPI Profile for
PBJ HEALTHCARE SERVICES LLC

NPI Number
1740801638
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PBJ HEALTHCARE SERVICES LLC
Primary location
2205 16TH ST SE
WASHINGTON, DC 20020-4333
Phone: (240) 425-2245 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETRA JUA
CEO
Phone: (301) 370-8049
Updated
Certification Date
May 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
385HR2065X
- Respite Care / Respite Care, Physical Disabilities, Child
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child
385H00000X
- Respite Care
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
315P00000X
- Intermediate Care Facility, Intellectual Disabilities
253Z00000X
- In Home Supportive Care
251J00000X
- Nursing Care
251E00000X
- Home Health
251B00000X
- Case Management

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
LAPTOP
Endpoint type
SOAP URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2205 16TH ST SE,
WASHINGTON, DC 77025-1669