Healthcare Provider Details

I. General information

NPI: 1518801356
Provider Name (Legal Business Name): MIKA HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 ERMINE DR
NEW CASTLE DE
19720-8604
US

IV. Provider business mailing address

215 ERMINE DR
NEW CASTLE DE
19720-8604
US

V. Phone/Fax

Practice location:
  • Phone: 302-513-5627
  • Fax:
Mailing address:
  • Phone: 302-513-5627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AGNES MIKWA
Title or Position: DON
Credential: RN-BSN
Phone: 302-513-5627