MEDICARE: PERSONAL HOME CARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366384299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL HOME CARE

Provider Business Mailing Address
First Line	:	4884 BROOKE HILL CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-0418
Country	:	US
Telephone Number	:	314-899-3904
Fax Number	:

Provider Business Practice Location Address
First Line	:	4884 BROOKE HILL CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-0418
Country	:	US
Telephone Number	:	314-899-3904
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	YOLANDA SMITH
Credential	:	SMITH
Telephone Number	:	314-899-3904

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “PERSONAL HOME CARE ” Practice Location

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