Provider Demographics
NPI:1447950852
Name:ORIBS HEALTHCARE LLC
Entity type:Organization
Organization Name:ORIBS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OBIAGERI ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:AGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-808-3622
Mailing Address - Street 1:9505 TYLER ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-2564
Mailing Address - Country:US
Mailing Address - Phone:651-808-3622
Mailing Address - Fax:
Practice Address - Street 1:9505 TYLER ST NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-2564
Practice Address - Country:US
Practice Address - Phone:651-808-3622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health