Provider Demographics
NPI:1679001366
Name:MY CARE INC
Entity Type:Organization
Organization Name:MY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOTEEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-441-7976
Mailing Address - Street 1:2615 MOUNTAIN INDUSTRIAL BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-3070
Mailing Address - Country:US
Mailing Address - Phone:770-797-5762
Mailing Address - Fax:
Practice Address - Street 1:2615 MOUNTAIN INDUSTRIAL BLVD STE 11
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-3070
Practice Address - Country:US
Practice Address - Phone:770-797-5762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health