Healthcare Provider Details

I. General information

NPI: 1750445664
Provider Name (Legal Business Name): MARIAN CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 02/07/2021
Certification Date: 02/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 WILLIS AVENUE
WILLISTON PAR NY
11596-1724
US

IV. Provider business mailing address

467 WILLIS AVENUE
WILLISTON PAR NY
11596-1724
US

V. Phone/Fax

Practice location:
  • Phone: 516-741-8600
  • Fax: 516-408-3111
Mailing address:
  • Phone: 516-741-8600
  • Fax: 516-408-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9061L001
License Number StateNY

VIII. Authorized Official

Name: MRS. JENNIFER JEANNE MUELLER
Title or Position: DIRECTOR
Credential:
Phone: 516-741-8600