Provider Demographics
NPI:1295466019
Name:MARIAN CARE LLC
Entity Type:Organization
Organization Name:MARIAN CARE LLC
Other - Org Name:VISITING ANGELS OF SUBURBAN ESSEX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILOU
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAREAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:973-226-9090
Mailing Address - Street 1:7 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4909
Mailing Address - Country:US
Mailing Address - Phone:973-226-9090
Mailing Address - Fax:
Practice Address - Street 1:7 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-4909
Practice Address - Country:US
Practice Address - Phone:973-226-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care