Provider Demographics
NPI:1902273147
Name:MACKIN HOME CARE INC
Entity type:Organization
Organization Name:MACKIN HOME CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MACKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-755-7400
Mailing Address - Street 1:2550 KINGSTON RD
Mailing Address - Street 2:SUITE 323
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3735
Mailing Address - Country:US
Mailing Address - Phone:717-755-7400
Mailing Address - Fax:717-755-7474
Practice Address - Street 1:2550 KINGSTON RD
Practice Address - Street 2:SUITE 323
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3735
Practice Address - Country:US
Practice Address - Phone:717-755-7400
Practice Address - Fax:717-755-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28423601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care