Provider Demographics
NPI:1629899927
Name:EPIC CARE, INC
Entity type:Organization
Organization Name:EPIC CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MUSEKIWA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:240-421-9994
Mailing Address - Street 1:9111 CHARTERHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7314
Mailing Address - Country:US
Mailing Address - Phone:240-421-9994
Mailing Address - Fax:
Practice Address - Street 1:9111 CHARTERHOUSE RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7314
Practice Address - Country:US
Practice Address - Phone:240-421-9994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities