Healthcare Provider Details

I. General information

NPI: 1669313565
Provider Name (Legal Business Name): CARLA ARLETA MOORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 8TH ST SE
WASHINGTON DC
20032-3733
US

IV. Provider business mailing address

3707 4TH ST SE APT A
WASHINGTON DC
20032-5415
US

V. Phone/Fax

Practice location:
  • Phone: 877-659-4500
  • Fax: 888-972-3891
Mailing address:
  • Phone: 877-659-4500
  • Fax: 888-972-3891

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: