Healthcare Provider Details

I. General information

NPI: 1306766019
Provider Name (Legal Business Name): MICHAEL TAYLOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 4TH ST NW
WASHINGTON DC
20024-2886
US

IV. Provider business mailing address

600 4TH ST NW 440
WASHINGTON DC
20024
US

V. Phone/Fax

Practice location:
  • Phone: 202-853-1290
  • Fax:
Mailing address:
  • Phone: 202-853-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: