REBECCA'S PERSONAL CARE HOME INC
NPI 1023363686
Custodial Care Facility - Adult Care Home in Everett, PA
- 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
- Code Navigator
Location Map
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.
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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.