Healthcare Provider Details

I. General information

NPI: 1609445717
Provider Name (Legal Business Name): RACHEL'S SWEET HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4970 CHAMBERS HILL RD
HARRISBURG PA
17111-2413
US

IV. Provider business mailing address

4970 CHAMBERS HILL RD
HARRISBURG PA
17111-2413
US

V. Phone/Fax

Practice location:
  • Phone: 717-693-8236
  • Fax:
Mailing address:
  • Phone: 717-693-8236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: RACHEL C MCCULLUM
Title or Position: GOVERNING BODY
Credential:
Phone: 717-693-8236