Healthcare Provider Details

I. General information

NPI: 1730022013
Provider Name (Legal Business Name): JENI YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 BATES ST NW
WASHINGTON DC
20001-1114
US

IV. Provider business mailing address

5500 HOLMES RUN PKWY APT 1207
ALEXANDRIA VA
22304-2861
US

V. Phone/Fax

Practice location:
  • Phone: 202-320-7549
  • Fax:
Mailing address:
  • Phone: 202-320-7549
  • 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: