Healthcare Provider Details

I. General information

NPI: 1407764871
Provider Name (Legal Business Name): SEAN HOLMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 21ST ST NE # 207
WASHINGTON DC
20002-3153
US

IV. Provider business mailing address

116 GALVESTON ST SW APT 202
WASHINGTON DC
20032-1127
US

V. Phone/Fax

Practice location:
  • Phone: 202-790-9419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: