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NPI Code Detail

MEDICARE: YOUR NEEDS HOME CARE LLC

MEDICARE: YOUR NEEDS 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 : 1831840602
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR NEEDS HOME CARE LLC
Provider Business Mailing Address
First Line : 2132 BORBECK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2132 BORBECK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3725
Country : US
Telephone Number : 267-684-9200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AMINAH MUHAMMAD
Credential :
Telephone Number : 267-684-9200
Provider Enumeration Date : 01/13/2022
Last Update Date : 01/13/2022

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Directions to “YOUR NEEDS HOME CARE LLC ” Practice Location

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