Healthcare Provider Details

I. General information

NPI: 1295957751
Provider Name (Legal Business Name): YOUR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N. CYRUS STREET
CLEONA PA
17042-2034
US

IV. Provider business mailing address

PO BOX 2034
CLEONA PA
17042-2034
US

V. Phone/Fax

Practice location:
  • Phone: 717-273-8920
  • Fax:
Mailing address:
  • Phone: 717-273-8920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL S. SCHELL
Title or Position: DIRECTOR
Credential: R.N.
Phone: 717-273-8920