Provider Demographics
NPI:1942774096
Name:KARIAH HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:KARIAH HEALTHCARE SOLUTIONS LLC
Other - Org Name:KARIAH HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MBUGUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-852-9384
Mailing Address - Street 1:2601 NISQUALLY CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5702
Mailing Address - Country:US
Mailing Address - Phone:240-852-9384
Mailing Address - Fax:888-447-5575
Practice Address - Street 1:16021 COMPRINT CIR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1319
Practice Address - Country:US
Practice Address - Phone:240-852-9384
Practice Address - Fax:888-447-5575
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARIAH HEALTHCARE SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD881005200Medicaid