Healthcare Provider Details

I. General information

NPI: 1497454870
Provider Name (Legal Business Name): MAKCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2043 HORSESHOE PIKE
ANNVILLE PA
17003-8850
US

IV. Provider business mailing address

745 SUNSET AVE
AKRON PA
17501-1437
US

V. Phone/Fax

Practice location:
  • Phone: 717-832-2222
  • Fax:
Mailing address:
  • Phone: 717-832-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MICHAEL SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 717-832-2222