Provider Demographics
NPI:1366864274
Name:MY HOME CARE, LLC.
Entity Type:Organization
Organization Name:MY HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-884-9050
Mailing Address - Street 1:109 MONROE ST STE 20
Mailing Address - Street 2:
Mailing Address - City:SELINSGROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17870-7672
Mailing Address - Country:US
Mailing Address - Phone:570-884-4452
Mailing Address - Fax:888-898-7608
Practice Address - Street 1:6327 FORREST DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2823
Practice Address - Country:US
Practice Address - Phone:717-884-9050
Practice Address - Fax:888-898-7608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-11
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25083601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care