MEDICARE: GTINDEPENDENCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1730036906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GTINDEPENDENCE

Provider Business Mailing Address
First Line	:	5661 3RD ST NE APT 331
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-2563
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5661 3RD ST NE APT 331
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-2563
Country	:	US
Telephone Number	:	202-735-8407
Fax Number	:

Authorized Official
Title or Position	:	DPW
Name	:	MISS LAKISHA BROWN
Credential	:
Telephone Number	:	202-735-8407

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “GTINDEPENDENCE ” Practice Location

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