Provider Demographics
NPI:1386378461
Name:AURORA HEALTHCARE LLC
Entity type:Organization
Organization Name:AURORA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAFISAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULWAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-449-9195
Mailing Address - Street 1:6318 WINTHROP TERRACE TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-7128
Mailing Address - Country:US
Mailing Address - Phone:832-449-9195
Mailing Address - Fax:
Practice Address - Street 1:6318 WINTHROP TERRACE TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-7128
Practice Address - Country:US
Practice Address - Phone:832-449-9195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities