Healthcare Provider Details

I. General information

NPI: 1568205672
Provider Name (Legal Business Name): MY FAITH HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 GRAYS AVE
PHILADELPHIA PA
19142-2334
US

IV. Provider business mailing address

423 BOXWOOD CT
MECHANICSBURG PA
17050-4608
US

V. Phone/Fax

Practice location:
  • Phone: 717-962-1195
  • Fax:
Mailing address:
  • Phone: 717-962-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JOHN LLOYD
Title or Position: CEO
Credential:
Phone: 717-962-1195