Healthcare Provider Details

I. General information

NPI: 1477491074
Provider Name (Legal Business Name): RAYMOND COATES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 FLORIDA AVE NE APT 218
WASHINGTON DC
20002-6964
US

IV. Provider business mailing address

5208 F ST SE APT 4
WASHINGTON DC
20019-6002
US

V. Phone/Fax

Practice location:
  • Phone: 202-509-3624
  • Fax: 202-509-3624
Mailing address:
  • Phone: 202-509-3624
  • Fax: 202-509-3624

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: