# CARPENTERS SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669192365
- **Authorized official:** MRS. JACKIE CARPENTER MD (CEO)
- **Authorized official phone:** (202) 290-9838

## Contact information

- **Practice address:** 4639 HILLTOP TER SE, WASHINGTON, DC 20019-7837
- **Practice address phone:** (202) 290-9838
- **Mailing address:** 4639 HILLTOP TER SE, WASHINGTON, DC 20019-7837
- **Mailing address phone:** (202) 290-9838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207VC0200X | Critical Care Medicine (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VC0200X | Critical Care Medicine (Obstetrics & Gynecology) Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 333300000X | Emergency Response System Companies | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 09/01/2022