Healthcare Provider Details

I. General information

NPI: 1194682260
Provider Name (Legal Business Name): MED-PHARM HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6314 REMINGTON DR
FREDERICK MD
21701-5864
US

IV. Provider business mailing address

6314 REMINGTON DR
FREDERICK MD
21701-5864
US

V. Phone/Fax

Practice location:
  • Phone: 646-785-1941
  • Fax:
Mailing address:
  • Phone: 646-785-1941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS UKACHI
Title or Position: DIRECTOR OF ADMINISTRATIONS
Credential:
Phone: 929-264-1026