Healthcare Provider Details
I. General information
NPI: 1821461708
Provider Name (Legal Business Name): KARIAH HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2015
Last Update Date: 03/30/2024
Certification Date: 03/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16021 COMPRINT CIR
GAITHERSBURG MD
20877-1319
US
IV. Provider business mailing address
2601 NISQUALLY CT
SILVER SPRING MD
20906-5702
US
V. Phone/Fax
- Phone: 240-852-9384
- Fax: 888-447-5575
- Phone: 240-852-9384
- Fax: 888-447-5575
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R175055 |
| License Number State | MD |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R178619 |
| License Number State | MD |
VIII. Authorized Official
Name:
ESTHER
MBUGUA
Title or Position: MANAGER
Credential: MSN, RN
Phone: 240-852-9384