Provider Demographics
NPI:1225788458
Name:YOUR CARE AT HOME, LLC
Entity Type:Organization
Organization Name:YOUR CARE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-892-5385
Mailing Address - Street 1:4704 LEIPER ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3223
Mailing Address - Country:US
Mailing Address - Phone:267-892-5385
Mailing Address - Fax:267-396-8943
Practice Address - Street 1:4704 LEIPER ST STE 2A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3223
Practice Address - Country:US
Practice Address - Phone:267-892-5385
Practice Address - Fax:267-396-8943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032241620001Medicaid