Provider Demographics
NPI:1316655699
Name:ORA PRO NOBIS HEALTH CARE LLC
Entity type:Organization
Organization Name:ORA PRO NOBIS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAXIME
Authorized Official - Middle Name:MANIE
Authorized Official - Last Name:BURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-640-2459
Mailing Address - Street 1:6654 LAKESIDE DR APT 315F
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4484
Mailing Address - Country:US
Mailing Address - Phone:859-640-2459
Mailing Address - Fax:
Practice Address - Street 1:6654 LAKESIDE DR APT 315F
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4484
Practice Address - Country:US
Practice Address - Phone:859-640-2459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health