Provider Demographics
NPI:1740873975
Name:ZOHAR MAXCARE INC.
Entity type:Organization
Organization Name:ZOHAR MAXCARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGLET
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:301-250-0404
Mailing Address - Street 1:18403 WOODFIELD RD STE D
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-4794
Mailing Address - Country:US
Mailing Address - Phone:301-250-0404
Mailing Address - Fax:301-637-7970
Practice Address - Street 1:18403 WOODFIELD RD STE D
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-4794
Practice Address - Country:US
Practice Address - Phone:301-250-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty