Provider Demographics
NPI:1831695345
Name:MY CARE HOME CARE
Entity type:Organization
Organization Name:MY CARE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-986-8055
Mailing Address - Street 1:2020 BRICE RD STE 270
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3458
Mailing Address - Country:US
Mailing Address - Phone:614-986-8055
Mailing Address - Fax:614-388-5776
Practice Address - Street 1:2020 BRICE RD STE 270
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3458
Practice Address - Country:US
Practice Address - Phone:614-986-8055
Practice Address - Fax:614-388-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care