Provider Demographics
NPI:1700779808
Name:MARA HOME SERVICES LLC
Entity type:Organization
Organization Name:MARA HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SULEBAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-999-5829
Mailing Address - Street 1:3500 DEPAUW BLVD STE 10817
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1170
Mailing Address - Country:US
Mailing Address - Phone:612-999-5829
Mailing Address - Fax:
Practice Address - Street 1:3500 DEPAUW BLVD STE 10817
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1170
Practice Address - Country:US
Practice Address - Phone:612-999-5829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health