1730369760 NPI number — HUMAN CARE SERVICES FOR FAMILIES AND CHILDREN INC

Table of content: (NPI 1730369760)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730369760 NPI number — HUMAN CARE SERVICES FOR FAMILIES AND CHILDREN INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUMAN CARE SERVICES FOR FAMILIES AND CHILDREN INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730369760
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1042 38TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11219-1011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-854-2747
Provider Business Mailing Address Fax Number:
718-303-9160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1042 38TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219-1011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-854-2747
Provider Business Practice Location Address Fax Number:
718-303-9160
Provider Enumeration Date:
11/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GELBTUCH
Authorized Official First Name:
ELAINE
Authorized Official Middle Name:
Authorized Official Title or Position:
ENTITLEMENT SPECIALIST
Authorized Official Telephone Number:
718-854-2747

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X , with the licence number: 320900000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385HR2055X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385HR2060X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385HR2065X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02000246 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02522787 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02758267 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02849163 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02680573 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00333808 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02254171 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02680564 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01737379 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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