Provider Demographics
NPI:1932601325
Name:MIK HOMECARE SOLUTIONS
Entity Type:Organization
Organization Name:MIK HOMECARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PELUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMOLUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-328-2172
Mailing Address - Street 1:6490 LANDOVER RD STE C1
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1443
Mailing Address - Country:US
Mailing Address - Phone:301-328-2172
Mailing Address - Fax:
Practice Address - Street 1:6490 LANDOVER RD STE C1
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1443
Practice Address - Country:US
Practice Address - Phone:301-328-2172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies