MEDICARE: CARE IN MIND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003461724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE IN MIND

Provider Business Mailing Address
First Line	:	403 ZAMORA CT
Second Line	:
City	:	TOWNSEND
State	:	DE
Zip	:	19734-3054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 N 63RD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3209
Country	:	US
Telephone Number	:	215-650-7767
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES BYRARD
Credential	:
Telephone Number	:	215-650-7767

Provider Enumeration Date	:	08/08/2019
Last Update Date	:	08/08/2019

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Directions to “CARE IN MIND ” Practice Location

Language	Start Address	Practice Location

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