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NPI Code Detail

MEDICARE: FAMILY TRUST HOME CARE LLC

MEDICARE: FAMILY TRUST HOME CARE 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1780530741
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY TRUST HOME CARE LLC
Provider Business Mailing Address
First Line : 5821 LINGLESTOWN RD STE 210
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-1100
Country : US
Telephone Number : 717-389-9049
Fax Number : 717-447-7091
Provider Business Practice Location Address
First Line : 5821 LINGLESTOWN RD STE 210
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-1100
Country : US
Telephone Number : 717-389-9049
Fax Number : 717-447-7091
Authorized Official
Title or Position : OWNER/CEO
Name : SHYAM DHITAL
Credential :
Telephone Number : 717-649-6435
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “FAMILY TRUST HOME CARE LLC ” Practice Location

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