Individual provider · Type 1 NPI

Tyrese Johnson

Personal Care Attendant · Washington, DC

NPI number 1972189611 Active

Practice location

820 13th St NE
Washington, DC 20002-4461

Mailing address

5717 Janice Ln
Temple Hills, MD 20748-4714

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: 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

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About NPI 1972189611

Tyrese Johnson's National Provider Identifier is 1972189611, issued on Mar 23, 2021. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Washington, DC. The record was last updated on Sep 29, 2026.