MEDICARE: ORISAKWE HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RSA-02976	OTHER	MD	RSA

General Provider Information

NPI Number	:	1063367688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORISAKWE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	11571 DUNLORING DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5753
Country	:	US
Telephone Number	:	240-413-8453
Fax Number	:

Provider Business Practice Location Address
First Line	:	11571 DUNLORING DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5753
Country	:	US
Telephone Number	:	240-413-8453
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTOPHER ORISAKWE
Credential	:
Telephone Number	:	240-413-8453

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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