Organization
MAXCARE HCBS LLC
Active
Other names
Complete Homecare PA
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM KAUL (PRESIDENT)
(917) 847-0810
Entity
Organization
Contact information
Practice address
2101 N FRONT ST BLDG 1, HARRISBURG, PA 17110-1036
(717) 695-0115
Mailing address
2101 N FRONT ST BLDG 1, HARRISBURG, PA 17110-1036
(717) 695-0115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103066493
—
PA
Enumeration date
09/09/2015
Last updated
02/27/2023
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