Healthcare Provider Details

I. General information

NPI: 1184541971
Provider Name (Legal Business Name): MR. JAMES CARR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

113 56TH PL SE
WASHINGTON DC
20019-6571
US

IV. Provider business mailing address

4311 23RD PKWY APT 910
TEMPLE HILLS MD
20748-4462
US

V. Phone/Fax

Practice location:
  • Phone: 202-689-9758
  • Fax:
Mailing address:
  • Phone: 202-500-5690
  • 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: