Healthcare Provider Details
I. General information
NPI: 1710667647
Provider Name (Legal Business Name): YOUR CARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2023
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 CORNFIELD CT
REISTERSTOWN MD
21136-1635
US
IV. Provider business mailing address
4 CORNFIELD CT
REISTERSTOWN MD
21136-1635
US
V. Phone/Fax
- Phone: 443-226-4150
- Fax:
- Phone: 443-226-4150
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
BRITTANY
R
GALMORE
Title or Position: CEO
Credential: RN
Phone: 443-226-4150