Provider Demographics
NPI:1679281950
Name:MEGACARE LLC
Entity Type:Organization
Organization Name:MEGACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ALLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-469-8795
Mailing Address - Street 1:4200 EDMONDSON AVE STE 200A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-1614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4200 EDMONDSON AVE STE 200A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-1614
Practice Address - Country:US
Practice Address - Phone:240-432-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation