Provider Demographics
NPI:1285005363
Name:IONA SENIOR SERVICES
Entity type:Organization
Organization Name:IONA SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR WELLNESS & ARTS CENTER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GROGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-895-9474
Mailing Address - Street 1:4125 ALBEMARLE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2105
Mailing Address - Country:US
Mailing Address - Phone:202-895-9474
Mailing Address - Fax:202-362-2032
Practice Address - Street 1:4125 ALBEMARLE ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2105
Practice Address - Country:US
Practice Address - Phone:202-895-9474
Practice Address - Fax:202-362-2032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC010655058Other010655058
DC051257900Medicaid