Healthcare Provider Details

I. General information

NPI: 1154242774
Provider Name (Legal Business Name): MONIQUE HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3199 8TH ST NE APT 2606
WASHINGTON DC
20017-1670
US

IV. Provider business mailing address

4507 12TH ST NE
WASHINGTON DC
20017-2701
US

V. Phone/Fax

Practice location:
  • Phone: 202-306-6235
  • Fax:
Mailing address:
  • Phone: 202-423-6902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: