Provider Demographics
NPI: | 1710667647 |
---|---|
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: | CEO |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | BRITTANY |
Authorized Official - Middle Name: | R |
Authorized Official - Last Name: | GALMORE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 443-226-4150 |
Mailing Address - Street 1: | 4 CORNFIELD CT |
Mailing Address - Street 2: | |
Mailing Address - City: | REISTERSTOWN |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21136-1635 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 443-226-4150 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4 CORNFIELD CT |
Practice Address - Street 2: | |
Practice Address - City: | REISTERSTOWN |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21136-1635 |
Practice Address - Country: | US |
Practice Address - Phone: | 443-226-4150 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-07-25 |
Last Update Date: | 2024-08-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251J00000X | Agencies | Nursing Care | ||
No | 251E00000X | Agencies | Home Health | Group - Multi-Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty |