Provider Demographics
NPI:1154825941
Name:JOY'S HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:JOY'S HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:OTCHERE
Authorized Official - Last Name:OBIOBUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-813-4101
Mailing Address - Street 1:5 WINCHESTER CIR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-1869
Mailing Address - Country:US
Mailing Address - Phone:717-813-4191
Mailing Address - Fax:
Practice Address - Street 1:5 WINCHESTER CIR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-1869
Practice Address - Country:US
Practice Address - Phone:717-813-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA35603601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care