Healthcare Provider Details

I. General information

NPI: 1598085920
Provider Name (Legal Business Name): MAREKARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 S HANOVER ST SUITE 108
CARLISLE PA
17013-3327
US

IV. Provider business mailing address

19 S HANOVER ST SUITE 108
CARLISLE PA
17013-3327
US

V. Phone/Fax

Practice location:
  • Phone: 717-243-5080
  • Fax: 717-243-6950
Mailing address:
  • Phone: 717-243-5080
  • Fax: 717-243-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number14403601
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. STEPHEN M TAYLOR
Title or Position: ADMINISTRATOR
Credential: RT
Phone: 717-243-5080