Provider Demographics
NPI:1225274475
Name:BILOS MEGA CARE,LLC
Entity Type:Organization
Organization Name:BILOS MEGA CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEOPOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEGAING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-361-8464
Mailing Address - Street 1:7333 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 1205
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6958
Mailing Address - Country:US
Mailing Address - Phone:301-560-1352
Mailing Address - Fax:
Practice Address - Street 1:7333 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 1205
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6958
Practice Address - Country:US
Practice Address - Phone:301-560-1352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BILOS MEGA CARE,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0606007251E00000X
MDR2665P251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care