BCC Personal Care Home LLC

Organization Active NPI In Home Supportive Care Agency · Willow Grove, PA

NPI 1003627142 · NPPES record last updated Apr 11, 2025

Key facts

NPI
1003627142
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BCC PERSONAL CARE HOME LLC
Practice address
205 Krewson Ter
Willow Grove, PA 19090-3517
Phone
(215) 494-0100
NPI assigned
Jan 17, 2025
Organization subpart
No

Authorized official

Name
Mr. Patrick Demetry Charles
Title
Sole Member
Phone
(215) 494-0100

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

37 S Main St
Ste 205D103
Chambersburg, PA 17201
Phone (215) 494-0100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X
Meals Provider 174200000X
Lodging Provider 177F00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Yes
Assisted Living Facility 310400000X
Custodial Care Facility 311Z00000X
Secured Medical Transport (VAN) 343800000X
Private Vehicle 347C00000X
Chore Provider
Group: 193200000X MULTI-SPECIALTY GROUP
372500000X
Adult Companion
Group: 193200000X MULTI-SPECIALTY GROUP
372600000X
Attendant Care Provider
Group: 193200000X MULTI-SPECIALTY GROUP
3747A0650X
Personal Care Attendant
Group: 193200000X MULTI-SPECIALTY GROUP
3747P1801X
Nursing Home Administrator
Group: 193200000X MULTI-SPECIALTY GROUP
376G00000X
Nurse's Aide
Group: 193200000X MULTI-SPECIALTY GROUP
376K00000X

Addresses

Primary practice location

205 Krewson Ter
Willow Grove, PA 19090-3517

Mailing address

205 Krewson Ter
Willow Grove, PA 19090-3517
Phone (215) 494-0100

Other practice location 1

37 S Main St Ste 205D103
Chambersburg, PA 17201-2200
Phone (215) 494-0100

Other providers in Willow Grove, PA

All providers in Willow Grove, PA · In Home Supportive Care Agency in Pennsylvania

Sources for this page

Verify at the official NPI Registry.