MR. MICHAEL JERRY MISSOURI JR.
NPI 1417728882
Technician - Personal Care Attendant in Washington, DC

Q: What is Michael Missouri's NPI number?

The NPI number for Michael Missouri is 1417728882. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Q: What is Michael Missouri's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Missouri was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 12, 2024

431 54TH ST SE APT A1, WASHINGTON, DC 20019(202) 200-6558 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael Jerry Missouri Jr. NPPES

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

MR. MICHAEL JERRY MISSOURI JR. (NPI 1417728882) is an individual personal care attendant in Washington, District Of Columbia and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1417728882

Entity TypeIndividualMale

Primary Taxonomy3747P1801X

Provider Legal NameMR. MICHAEL JERRY MISSOURI JR.

Location Address431 54TH ST SE APT A1Washington, DC 20019-6573

Mailing Address816 Southern Ave Se Apt 301Washington, DC 20032-3497 · (202) 802-3962

Phone(202) 200-6558

Sole ProprietorNo

Enumeration DateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1417728882 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

431 54TH ST SE APT A1, Washington, DC 20019

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Other Providers at the Same Location NPPES

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

MS. KIM MELISSA BOOKARD MSW

Social Worker

431 54TH ST SE APT A1
WASHINGTON, DC 20019

District of Columbia (202) 200-6558

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 Michael Missouri's NPI number?

The NPI number for Michael Missouri is 1417728882. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Michael Missouri located?

Michael Missouri practices at 431 54th St SE Apt A1, Washington, DC 20019. The listed phone number is (202) 200-6558.

What is Michael Missouri'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 Michael Missouri was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.