Healthcare Provider Details

I. General information

NPI: 1871402230
Provider Name (Legal Business Name): OUMAIMA BENAOUDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 BLADENSBURG RD NE APT 301
WASHINGTON DC
20018-2234
US

IV. Provider business mailing address

4611 ROUNDHILL RD
ALEXANDRIA VA
22310-2947
US

V. Phone/Fax

Practice location:
  • Phone: 202-716-0675
  • Fax:
Mailing address:
  • Phone: 240-739-8409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: