Healthcare Provider Details

I. General information

NPI: 1164307047
Provider Name (Legal Business Name): NGOZI C OPARA CNA/ HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 PRESIDENTS DR STE 235
LANHAM MD
20706-4883
US

IV. Provider business mailing address

5917 CHERRYWOOD TER APT 301
GREENBELT MD
20770-4273
US

V. Phone/Fax

Practice location:
  • Phone: 919-434-5032
  • Fax:
Mailing address:
  • Phone: 240-354-0622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHHA200001456
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: