Ivan Sims
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1154047397
StatusActive
Last updated in NPPESOct 19, 2022
Details
- NPI
- 1154047397
- Entity type
- Individual (NPI-1)
- Name
- Ivan Sims
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2022
- Certification date
- Oct 19, 2022
- Last updated
- Oct 19, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
635 Edgewood St Ne Apt 411Washington, DC 20017-4117
Phone 202-285-3730
Mailing address
27565 Brothers LnMechanicsville, MD 20659-4291
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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