Healthcare Provider Details

I. General information

NPI: 1487569646
Provider Name (Legal Business Name): CHRISTOPHER ROBERT SLADE JR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 GALVESTON ST SW
WASHINGTON DC
20032-1987
US

IV. Provider business mailing address

82 GALVESTON ST SW APT 201
WASHINGTON DC
20032-1941
US

V. Phone/Fax

Practice location:
  • Phone: 877-659-4500
  • Fax: 888-972-3891
Mailing address:
  • Phone: 877-659-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: