MEDICARE: MY TRULY BLESSED HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881287357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY TRULY BLESSED HOMECARE LLC

Provider Business Mailing Address
First Line	:	116 N. HOBART ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-2731
Country	:	US
Telephone Number	:	267-500-5685
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 MARKET ST
Second Line	:	UNIT E
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-2431
Country	:	US
Telephone Number	:	267-500-5685
Fax Number	:

Authorized Official
Title or Position	:	OWNER / POSITION
Name	:	KARLA M GARNES
Credential	:
Telephone Number	:	267-500-5685

Provider Enumeration Date	:	02/16/2021
Last Update Date	:	02/16/2021

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Directions to “MY TRULY BLESSED HOMECARE LLC ” Practice Location

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