Healthcare Provider Details

I. General information

NPI: 1689585440
Provider Name (Legal Business Name): ERWIN BAYLOR II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 11TH ST NE
WASHINGTON DC
20017-2846
US

IV. Provider business mailing address

820 ASPEN ST NW
WASHINGTON DC
20012-2510
US

V. Phone/Fax

Practice location:
  • Phone: 202-276-4161
  • Fax:
Mailing address:
  • Phone:
  • 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: