MEDICARE: 4 CARE AT HOME INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1053020982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	4 CARE AT HOME INC

Provider Business Mailing Address
First Line	:	1205 VARSITY LN
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-3914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 FAIRMOUNT AVE
Second Line	:	3RD FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130
Country	:	US
Telephone Number	:	302-293-1783
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHEENA WESLEY
Credential	:
Telephone Number	:	302-293-1783

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	11/18/2022

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