Provider Demographics
NPI:1821985631
Name:JOHNSON, SAKIA (SOLE PROPRIETOR)
Entity type:Individual
Prefix:
First Name:SAKIA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 ROSECRANS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-6925
Mailing Address - Country:US
Mailing Address - Phone:202-494-2530
Mailing Address - Fax:
Practice Address - Street 1:4818 ALABAMA AVE SE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5021
Practice Address - Country:US
Practice Address - Phone:202-494-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant