1235762865 NPI number — PROLIFIC HOME HEALTH ASSESSORS LLC

Table of content: (NPI 1235762865)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235762865 NPI number — PROLIFIC HOME HEALTH ASSESSORS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROLIFIC HOME HEALTH ASSESSORS LLC
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:
PROLIFIC HOME HEALTH ASSESSORS LLC
Provider Other Organization Name Type Code:
3
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:
1235762865
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
796 THOMAS S BOYLAND 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:
11212-4433
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-951-4301
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
796 SARATOGA AVE STE A
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:
11212-4475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-365-9779
Provider Business Practice Location Address Fax Number:
347-365-4230
Provider Enumeration Date:
02/21/2020

Additional Information

Authorized Official

Authorized Official Last Name:
ORJI
Authorized Official First Name:
PRISCILLA
Authorized Official Middle Name:
NNENNA
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
347-951-4301

Provider Taxonomy Codes

  • Taxonomy code: 207QA0401X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 05557268 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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