REBECCA'S PERSONAL CARE HOME INC
NPI 1023363686
Custodial Care Facility - Adult Care Home in Everett, PA

Active since July 19, 2012
118 MASTERS AVE, EVERETT, PA 15537(814) 652-2834(814) 652-5090 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About REBECCA'S PERSONAL CARE HOME INC

This page provides the complete NPI Profile along with additional information for Rebecca's Personal Care Home Inc, a provider established in Everett, Pennsylvania operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1023363686 assigned on July 2012. The practitioner's primary taxonomy code is 311ZA0620X with license number 324070 (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Dustin Corey Miller (Owner/administrator)

NPI
1023363686 Verify this NPI
Provider Name
REBECCA'S PERSONAL CARE HOME INC
Entity Type
Organization
Location Address
118 MASTERS AVE EVERETT, PA 15537
Location Phone
(814) 652-2834
Location Fax
(814) 652-5090
Mailing Address
118 MASTERS AVE EVERETT, PA 15537
Mailing Phone
(814) 652-2834
Mailing Fax
(814) 652-5090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2012
Last Update Date
07-19-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
324070
License State
PA
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DUSTIN COREY MILLER

Authorized Official Title
OWNER/ADMINISTRATOR
Authorized Official Phone
(814) 652-2834

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023363686, enumerated as an "organization" on July 19, 2012.

The provider is located at 118 MASTERS AVE EVERETT, PA 15537 and the phone number is (814) 652-2834.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.