Organization
BCC PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DEMETRY CHARLES (SOLE MEMBER)
(215) 494-0100
Entity
Organization
Contact information
Practice address
205 KREWSON TER, WILLOW GROVE, PA 19090-3517
(215) 494-0100
Mailing address
205 KREWSON TER, WILLOW GROVE, PA 19090-3517
(215) 494-0100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/17/2025
Last updated
04/11/2025
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