Healthcare Provider Details

I. General information

NPI: 1487502928
Provider Name (Legal Business Name): YASHEKA MONIQUE WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AURORA TAMEKA DRAYTON

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4236 MEETING STREET RD UNIT C
NORTH CHARLESTON SC
29405-6631
US

IV. Provider business mailing address

4236 MEETING STREET RD
NORTH CHARLESTON SC
29405-6631
US

V. Phone/Fax

Practice location:
  • Phone: 843-814-6797
  • Fax: 843-225-1828
Mailing address:
  • Phone: 843-814-6797
  • Fax: 843-225-1828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: