Healthcare Provider Details

I. General information

NPI: 1417601154
Provider Name (Legal Business Name): MARCIE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 EMMORTON PARK RD STE 102
EDGEWOOD MD
21040-1065
US

IV. Provider business mailing address

2113 EMMORTON PARK RD STE 102
EDGEWOOD MD
21040-1065
US

V. Phone/Fax

Practice location:
  • Phone: 240-470-7047
  • Fax: 240-470-7049
Mailing address:
  • Phone: 240-470-7047
  • Fax: 240-470-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MERCY WANGALIA
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-470-7047