Provider Demographics
NPI:1548733371
Name:INPAK HEALTHCARE LLC
Entity Type:Organization
Organization Name:INPAK HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:UBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-701-3882
Mailing Address - Street 1:12303 CHESTERTON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1611
Mailing Address - Country:US
Mailing Address - Phone:240-701-3882
Mailing Address - Fax:
Practice Address - Street 1:12303 CHESTERTON DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1611
Practice Address - Country:US
Practice Address - Phone:240-701-3882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric