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Micasa Sucasa

Community/Behavioral Health in Linthicum Heights, MD. Organization (NPI-2).

NPI number1942922166
StatusActive
Last updated in NPPESSep 14, 2022

Details

NPI
1942922166
Entity type
Organization (NPI-2)
Legal business name
Micasa Sucasa
Organization subpart
No
Enumeration date
Sep 14, 2022
Certification date
Sep 9, 2022
Last updated
Sep 14, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

780 Elkridge Landing Rd Ste 103
Linthicum Heights, MD 21090-2911

Phone 410-227-8002

Mailing address

780 Elkridge Landing Rd Ste 103
Linthicum Heights, MD 21090-2911

Phone 410-227-8002

Authorized official

Marcia Bailey
Ceo/Owner
4102278002

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health Agency providers in Linthicum Heights, MD

All 8 Community/Behavioral Health Agency providers in Linthicum Heights · All 125 providers in Linthicum Heights

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