Provider Demographics
NPI:1093220550
Name:MYCAREHEALTH INC.
Entity Type:Organization
Organization Name:MYCAREHEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:KAIGLER
Authorized Official - Last Name:TATA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-401-6549
Mailing Address - Street 1:8 THE GRN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3618
Mailing Address - Country:US
Mailing Address - Phone:302-401-6549
Mailing Address - Fax:
Practice Address - Street 1:8 THE GRN STE A
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3618
Practice Address - Country:US
Practice Address - Phone:302-288-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes281P00000XHospitalsChronic Disease Hospital
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No335G00000XSuppliersMedical Foods Supplier