Healthcare Provider Details

I. General information

NPI: 1518861566
Provider Name (Legal Business Name): VINCENT DONTA MCSWAIN SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5037 CALL PL SE APT 200
WASHINGTON DC
20019-7693
US

IV. Provider business mailing address

4820 BENNING RD SE APT 201
WASHINGTON DC
20019-6146
US

V. Phone/Fax

Practice location:
  • Phone: 202-330-6670
  • Fax:
Mailing address:
  • Phone: 202-200-7659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: