Provider Demographics
NPI:1467205500
Name:MACS CARE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:MACS CARE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAC
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGOURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-316-1259
Mailing Address - Street 1:950 N WASHINGTON ST STE 353
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-6523
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:950 N WASHINGTON ST STE 353
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-6523
Practice Address - Country:US
Practice Address - Phone:202-316-1259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health