Individual ProviderOren Reginald SmithCase Manager/Care CoordinatorOther Service ProvidersPractice Address2041 Mlk Jr. Ave SE, 200, Washington, DC 20020(202) 717-9323(240) 762-3952PECOS EnrollmentBased on the most recent information from CMS, provider Oren Reginald Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1760183594Provider TypeIndividualFull NameSmith, Oren ReginaldGenderMaleSole ProprietorYesEnumeration Date3/17/2023Last Updated6/16/2023Contact InformationPractice LocationPractice Address2041 Mlk Jr. Ave SE, 200, Washington, DC 20020Phone(202) 717-9323FaxUnlisted FaxMailing LocationMailing Address4915 Ayers Pl SE Apt 101, Washington, DC 20019-6276Phone(240) 762-3952FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer