Provider Demographics
NPI:1891753505
Name:ORTHOCARE SOLUTIONS, INC
Entity type:Organization
Organization Name:ORTHOCARE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASANKI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEYRATNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-990-1640
Mailing Address - Street 1:PO BOX 84090
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20883-8090
Mailing Address - Country:US
Mailing Address - Phone:301-990-1640
Mailing Address - Fax:301-990-1882
Practice Address - Street 1:5850 WATERLOO RD STE 140
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1944
Practice Address - Country:US
Practice Address - Phone:301-990-1640
Practice Address - Fax:301-990-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009109587Medicaid
MD001642000Medicaid
MD4233100001Medicare NSC
VA009109587Medicaid