Healthcare Provider Details

I. General information

NPI: 1467316166
Provider Name (Legal Business Name): AYANNA HOPE HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 R ST SE APT 104
WASHINGTON DC
20020-3952
US

IV. Provider business mailing address

2701 R ST SE APT 104
WASHINGTON DC
20020-3952
US

V. Phone/Fax

Practice location:
  • Phone: 202-971-2633
  • Fax: 202-971-2633
Mailing address:
  • Phone: 202-971-2633
  • Fax: 202-971-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number49400981
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: