Healthcare Provider Details

I. General information

NPI: 1225274475
Provider Name (Legal Business Name): BILOS MEGA CARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7333 NEW HAMPSHIRE AVE SUITE 1205
TAKOMA PARK MD
20912-6958
US

IV. Provider business mailing address

7333 NEW HAMPSHIRE AVE SUITE 1205
TAKOMA PARK MD
20912-6958
US

V. Phone/Fax

Practice location:
  • Phone: 301-560-1352
  • Fax:
Mailing address:
  • Phone: 301-560-1352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0606007
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2665P
License Number StateMD

VIII. Authorized Official

Name: MR. LEOPOLD BIEGAING
Title or Position: CEO
Credential:
Phone: 202-361-8464