DERRICK LAMONT SOUDER JR.
NPI 1659198356
Technician - Attendant Care Provider in Washington, DC

Active since September 24, 2024
628 NAVY PLACE SE, WASHINGTON, DC 20003(240) 714-7111 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derrick Lamont Souder Jr. NPPES

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

DERRICK LAMONT SOUDER JR. (NPI 1659198356) is an individual attendant care provider provider in Washington, District Of Columbia and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1659198356
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameDERRICK LAMONT SOUDER JR.
Location Address628 NAVY PLACE SEWashington, DC 20003
Mailing Address628 Navy Place SeWashington, DC 20003 · (240) 714-7111
Sole ProprietorNo
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1659198356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

628 NAVY PLACE SE, Washington, DC 20003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659198356, enumerated as an "individual" on September 24, 2024.

The provider is located at 628 NAVY PLACE SE WASHINGTON, DC 20003 and the phone number is (240) 714-7111.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.