Healthcare Provider Details

I. General information

NPI: 1144140765
Provider Name (Legal Business Name): ASHLEY COBB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 11TH ST NW APT 802
WASHINGTON DC
20001-2262
US

IV. Provider business mailing address

904 LONGFELLOW ST NW
WASHINGTON DC
20011-8208
US

V. Phone/Fax

Practice location:
  • Phone: 202-807-7222
  • Fax:
Mailing address:
  • Phone: 215-866-7152
  • 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: