Healthcare Provider Details

I. General information

NPI: 1780400804
Provider Name (Legal Business Name): ORA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2522B VIRGINIA AVE NW
WASHINGTON DC
20037-1904
US

IV. Provider business mailing address

2522B VIRGINIA AVE NW
WASHINGTON DC
20037-1904
US

V. Phone/Fax

Practice location:
  • Phone: 202-878-9161
  • Fax:
Mailing address:
  • Phone: 202-878-9161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HAMZA WARDERE
Title or Position: CEO
Credential:
Phone: 703-623-4515