Healthcare Provider Details

I. General information

NPI: 1922572924
Provider Name (Legal Business Name): ALEX CARES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 1ST ST NW
WASHINGTON DC
20001-1403
US

IV. Provider business mailing address

225 S WHITING ST APT 517
ALEXANDRIA VA
22304-7134
US

V. Phone/Fax

Practice location:
  • Phone: 202-535-1100
  • Fax:
Mailing address:
  • Phone: 202-491-4356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER UGWUNNA UKAOMA
Title or Position: FNP
Credential:
Phone: 202-399-7504