MEDICARE: MCBAHN 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	21023601	PA
2	3747P1801X	Personal Care Attendant
3	253Z00000X	In Home Supportive Care 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	:	1851877914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCBAHN LLC

Provider Business Mailing Address
First Line	:	505 YORK RD STE 116
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-2136
Country	:	US
Telephone Number	:	267-744-4173
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 YORK RD STE 116
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-2136
Country	:	US
Telephone Number	:	267-744-4173
Fax Number	:

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MATHEW ABRAHAM
Credential	:
Telephone Number	:	267-744-4173

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	10/24/2023

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Directions to “MCBAHN LLC ” Practice Location

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