MEDICARE: CARING FOR YOU HOME CARE SERVICES 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	34873601	PA

General Provider Information

NPI Number	:	1609395920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING FOR YOU HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2007 W MONTGOMERY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19121-3007
Country	:	US
Telephone Number	:	215-828-7854
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 GERMANTOWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1907
Country	:	US
Telephone Number	:	215-828-7854
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	ROSLYN MCCALL
Credential	:
Telephone Number	:	215-828-7854

Provider Enumeration Date	:	09/18/2017
Last Update Date	:	02/24/2018

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