Camilah D Carter

Individual provider Active NPI In Home Supportive Care Agency · Yeadon, PA

NPI 1649926809 · NPPES record last updated Feb 25, 2022

Key facts

NPI
1649926809
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
62863601 (PA)
Practice address
109 Baily Rd
Yeadon, PA 19050-2929
Phone
(267) 746-5096
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
62863601PAMDIn Home Supportive Care Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
376J00000X 62863601 PA
Respite Care 385H00000X 62863601 PA
In Home Supportive Care Agency 253Z00000X 62863601 PA Yes

Addresses

Primary practice location

109 Baily Rd
Yeadon, PA 19050-2929

Mailing address

109 Baily Rd
Yeadon, PA 19050-2929
Phone (267) 746-5096

Other providers in Yeadon, PA

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

Sources for this page

Verify at the official NPI Registry.