MEDICARE: YOUR CARE AT HOME, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225788458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR CARE AT HOME, LLC

Provider Business Mailing Address
First Line	:	4704 LEIPER ST STE 2A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3223
Country	:	US
Telephone Number	:	267-892-5385
Fax Number	:	267-396-8943

Provider Business Practice Location Address
First Line	:	4704 LEIPER ST STE 2A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3223
Country	:	US
Telephone Number	:	267-892-5385
Fax Number	:	267-396-8943

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHEILA JOYNER
Credential	:
Telephone Number	:	267-892-5385

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	03/29/2022

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Directions to “YOUR CARE AT HOME, LLC ” Practice Location

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