MEDICARE: MARI CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386284917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARI CARE LLC

Provider Business Mailing Address
First Line	:	601 HAMBURG TPKE STE 211
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2049
Country	:	US
Telephone Number	:	973-321-0010
Fax Number	:	973-956-7000

Provider Business Practice Location Address
First Line	:	601 HAMBURG TPKE STE 211
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2049
Country	:	US
Telephone Number	:	973-321-0010
Fax Number	:	975-956-7000

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	ARI TIKTIN
Credential	:
Telephone Number	:	973-321-0010

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	06/16/2022

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