Healthcare Provider Details

I. General information

NPI: 1174699326
Provider Name (Legal Business Name): PERSONAL HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 VALLEY FORGE RD UNIT 13
PHOENIXVILLE PA
19460-2676
US

IV. Provider business mailing address

1220 VALLEY FORGE RD STE 13
PHOENIXVILLE PA
19460-2676
US

V. Phone/Fax

Practice location:
  • Phone: 610-933-6130
  • Fax: 610-933-0154
Mailing address:
  • Phone: 610-933-6130
  • Fax: 610-933-0154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number741305
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number741305
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number15213601
License Number StatePA

VIII. Authorized Official

Name: RYAN M. MUIR
Title or Position: PRESIDENT
Credential:
Phone: 610-933-6130