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SHANTELLE MACK
NPI 1164181897
Technician - Personal Care Attendant in Washington, DC

Active since December 09, 2021
2628 SHERIDAN RD SE APT 2, WASHINGTON, DC 20020(202) 677-0502 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shantelle Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTELLE MACK (NPI 1164181897) is an individual personal care attendant in Washington, District Of Columbia and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1164181897
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHANTELLE MACK
Location Address2628 SHERIDAN RD SE APT 2Washington, DC 20020-5290
Mailing Address3016 G St SeWashington, DC 20019-1116 · (202) 905-3626
Phone(202) 677-0502
Sole ProprietorNo
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1164181897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

2628 SHERIDAN RD SE APT 2, Washington, DC 20020
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantelle Mack's NPI number?

The NPI number for Shantelle Mack is 1164181897. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Shantelle Mack located?

Shantelle Mack practices at 2628 Sheridan Rd SE Apt 2, Washington, DC 20020. The listed phone number is (202) 677-0502.

What is Shantelle Mack's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shantelle Mack was last updated on December 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.