Provider Demographics
NPI:1386284917
Name:MARI CARE LLC
Entity type:Organization
Organization Name:MARI CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARI
Authorized Official - Middle Name:
Authorized Official - Last Name:TIKTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-321-0010
Mailing Address - Street 1:601 HAMBURG TPKE STE 211
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2049
Mailing Address - Country:US
Mailing Address - Phone:973-321-0010
Mailing Address - Fax:973-956-7000
Practice Address - Street 1:601 HAMBURG TPKE STE 211
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2049
Practice Address - Country:US
Practice Address - Phone:973-321-0010
Practice Address - Fax:975-956-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health