Healthcare Provider Details

I. General information

NPI: 1255246765
Provider Name (Legal Business Name): ANGELA CHERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1618 MARION BARRY AVE SE
WASHINGTON DC
20020-4706
US

IV. Provider business mailing address

2308 HARTFORD ST SE APT 102
WASHINGTON DC
20020-7966
US

V. Phone/Fax

Practice location:
  • Phone: 202-486-8805
  • Fax:
Mailing address:
  • Phone: 202-486-8805
  • 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: