REBECCA'S PERSONAL CARE HOME INC (NPI# 1023363686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023363686 |
| Entity Type | Organization |
| Organization Name | REBECCA'S PERSONAL CARE HOME INC |
| Practice Address |
118 Masters Ave Everett PA 15537-1216 |
| Practice Telephone | 8146522834 |
| Practice Fax Number | 8146525090 |
| Mailing Telephone | 8146522834 |
| Mailing Fax Number | 8146525090 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | MR. DUSTIN COREY MILLER (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 8146522834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
324070 | PA | Nursing & Custodial Care Facilities |
| Street Address |
118 MASTERS AVE |
| City | EVERETT |
| State | PA |
| Zip Code | 15537-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
| 1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
| 1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
| 1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
| Find all providers in zip 15537 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709274 | Betty Jordan | Custodial Care Facility | 4102 Cliff Dr, Everett, WA 98203-1835 | 2020-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837218 | Felix Hernandez | Custodial Care Facility | 814 Saint Paul St, Lewisburg, PA 17837-1210 | 2019-12-04 |
| 1811483084 | Silvercare Personal Care LLC | Custodial Care Facility | 34 Copley Rd, Upper Darby, PA 19082-2512 | 2018-07-10 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1295275519 | Nonprofit Development Corporation | Custodial Care Facility | 921 Grant Ave, East Butler, PA 16029 | 2017-03-06 |
| 1164875696 | White Lily Home Care Inc | Custodial Care Facility | 4915 Wynnefield Avenue, 1af, Wynnefield Heights, PA 19131 | 2016-07-20 |
| 1043661341 | Xzavier Hunter | Custodial Care Facility | 7007 York Rd, Abbottstown, PA 17301-9774 | 2016-06-28 |
| 1801292990 | Alpa Care Concepts | Custodial Care Facility | 6649 Woodland Ave, Philadelphia, PA 19142-1621 | 2014-11-17 |
| 1376971135 | Pocono Tranquil Gardens, LLC | Custodial Care Facility | 329 E Brown St, East Stroudsburg, PA 18301-3014 | 2013-10-14 |
| 1205273943 | Golden Age Care LLC | Custodial Care Facility | 716 Red Lion Rd, Philadelphia, PA 19115-1307 | 2013-06-03 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REBECCA'S PERSONAL CARE HOME INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.