KEENAN WILSON
NPI 1407504806
Technician - Personal Care Attendant in Washington, DC

Active since March 15, 2022
506 58TH ST NE, WASHINGTON, DC 20019(202) 607-1853 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keenan Wilson NPPES

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

KEENAN WILSON (NPI 1407504806) is an individual personal care attendant in Washington, District Of Columbia and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1407504806
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameKEENAN WILSON
Location Address506 58TH ST NEWashington, DC 20019-6911
Mailing Address1915 Colebrooke DrTemple Hills, MD 20748-5605 · (301) 532-5784
Sole ProprietorNo
Enumeration DateMarch 15, 2022
NPPES CertifiedFebruary 22, 2022
NPI 1407504806 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
506 58TH ST NE, Washington, DC 20019

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
506 58TH ST NE
WASHINGTON, DC 20019
Technician (Personal Care Attendant)
506 58TH ST NE
WASHINGTON, DC 20019

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 Keenan Wilson's NPI number?

The NPI number for Keenan Wilson is 1407504806. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Keenan Wilson located?

Keenan Wilson practices at 506 58th St NE, Washington, DC 20019. The listed phone number is (202) 607-1853.

What is Keenan Wilson'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 Keenan Wilson was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.