Healthcare Provider Details

I. General information

NPI: 1386569333
Provider Name (Legal Business Name): GRACE BENNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ST SE APT 109
WASHINGTON DC
20019-1032
US

IV. Provider business mailing address

3018 STANTON RD SE UNIT B
WASHINGTON DC
20020-7866
US

V. Phone/Fax

Practice location:
  • Phone: 202-459-1096
  • Fax:
Mailing address:
  • Phone: 240-988-6253
  • 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: