1154635977 NPI number — ADJ WISDOM HOME CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154635977 NPI number — ADJ WISDOM HOME CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADJ WISDOM HOME CARE 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:
1154635977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 GRAND ST # 2MFL
Provider Second Line Business Mailing Address:
2MFL
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10013-4241
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-226-8218
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 GRAND ST # 2MFL
Provider Second Line Business Practice Location Address:
2MFL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-4241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-226-8218
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WENG
Authorized Official First Name:
XIU
Authorized Official Middle Name:
MEI
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
212-226-8218

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  1916L001 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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