Healthcare Provider Details

I. General information

NPI: 1689587362
Provider Name (Legal Business Name): ADDIS CARE PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 POOKS HILL RD APT 1010
BETHESDA MD
20814-2052
US

IV. Provider business mailing address

5225 POOKS HILL RD APT 1010
BETHESDA MD
20814-2052
US

V. Phone/Fax

Practice location:
  • Phone: 240-505-3475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: WUBIT TILAHUN RARU
Title or Position: DNP
Credential: DNP
Phone: 240-505-3475