Provider Demographics
NPI:1386524551
Name:MYCARE-LLC
Entity type:Organization
Organization Name:MYCARE-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MYLEKA
Authorized Official - Middle Name:MYKAYLA
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-343-3646
Mailing Address - Street 1:3137 KILT CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-4988
Mailing Address - Country:US
Mailing Address - Phone:310-343-3646
Mailing Address - Fax:
Practice Address - Street 1:3137 KILT CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4988
Practice Address - Country:US
Practice Address - Phone:310-343-3646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty