Healthcare Provider Details

I. General information

NPI: 1053245811
Provider Name (Legal Business Name): ALONA MOODY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 C ST SE
WASHINGTON DC
20019-6311
US

IV. Provider business mailing address

3145 BUENA VISTA TER SE APT 4
WASHINGTON DC
20020-1713
US

V. Phone/Fax

Practice location:
  • Phone: 202-779-4017
  • Fax:
Mailing address:
  • Phone: 202-439-5128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: