Healthcare Provider Details

I. General information

NPI: 1124984562
Provider Name (Legal Business Name): ANDREW PHILLIP CLOWE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4272 7TH ST SE APT 308
WASHINGTON DC
20032-3687
US

IV. Provider business mailing address

5620 FARGO AVE
OXON HILL MD
20745-3215
US

V. Phone/Fax

Practice location:
  • Phone: 202-373-0530
  • Fax:
Mailing address:
  • Phone: 202-528-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: