Provider Demographics
NPI:1073859518
Name:OPARA, IHUOMA M (CHHA)
Entity Type:Individual
Prefix:
First Name:IHUOMA
Middle Name:M
Last Name:OPARA
Suffix:
Gender:F
Credentials:CHHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E FRONT ST
Mailing Address - Street 2:APT A12
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-1035
Mailing Address - Country:US
Mailing Address - Phone:908-422-4251
Mailing Address - Fax:
Practice Address - Street 1:750 E FRONT ST
Practice Address - Street 2:APT A12
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-1035
Practice Address - Country:US
Practice Address - Phone:908-422-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NH12948700374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide