Provider Demographics
NPI:1215401534
Name:BE FAMILY HOME CARE, LLC
Entity Type:Organization
Organization Name:BE FAMILY HOME CARE, LLC
Other - Org Name:SECOND FAMILY HOME HEALTHCARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEANNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-357-5396
Mailing Address - Street 1:27 W RIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-2919
Mailing Address - Country:US
Mailing Address - Phone:888-826-0074
Mailing Address - Fax:
Practice Address - Street 1:1 SOUTH MORTON AVE
Practice Address - Street 2:SUITE M1
Practice Address - City:MORTON
Practice Address - State:PA
Practice Address - Zip Code:19070-1907
Practice Address - Country:US
Practice Address - Phone:610-605-2270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103892100-0001Medicaid