Provider Demographics
NPI:1053107326
Name:MCCAIN, EARNEST
Entity type:Individual
Prefix:
First Name:EARNEST
Middle Name:
Last Name:MCCAIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 PEABODY ST NW APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2053
Mailing Address - Country:US
Mailing Address - Phone:240-459-0488
Mailing Address - Fax:
Practice Address - Street 1:537 PEABODY ST NW APT 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2053
Practice Address - Country:US
Practice Address - Phone:202-359-0307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant