Provider Demographics
NPI:1679055792
Name:MAARREY HOME CARE, LLC
Entity type:Organization
Organization Name:MAARREY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIOT
Authorized Official - Middle Name:
Authorized Official - Last Name:OBI-TABOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-844-2490
Mailing Address - Street 1:1204 BALTIMORE PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-7373
Mailing Address - Country:US
Mailing Address - Phone:484-443-8491
Mailing Address - Fax:484-444-2560
Practice Address - Street 1:1204 BALTIMORE PIKE STE 200
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-7373
Practice Address - Country:US
Practice Address - Phone:484-443-8491
Practice Address - Fax:484-444-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103682749-0001Medicaid