Healthcare Provider Details

I. General information

NPI: 1801723671
Provider Name (Legal Business Name): BENICIO CASTELLANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1369 IRVING ST NW
WASHINGTON DC
20010-2312
US

IV. Provider business mailing address

1369 IRVING ST NW
WASHINGTON DC
20010-2312
US

V. Phone/Fax

Practice location:
  • Phone: 240-507-2241
  • 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 StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: