MEDICARE: MY CARE HELPERS, 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

General Provider Information

NPI Number	:	1528751500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY CARE HELPERS, LLC

Provider Business Mailing Address
First Line	:	1331 UNION AVE STE 1016
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-7566
Country	:	US
Telephone Number	:	888-661-8168
Fax Number	:	901-203-0356

Provider Business Practice Location Address
First Line	:	1331 UNION AVE STE 1016
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-7566
Country	:	US
Telephone Number	:	888-661-8168
Fax Number	:	901-203-0356

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. KUAM GARRETT
Credential	:
Telephone Number	:	901-428-8976

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	05/26/2023

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