1639602642 NPI number — HCS HOME CARE OF WESTCHESTER INC

Table of content: (NPI 1639602642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639602642 NPI number — HCS HOME CARE OF WESTCHESTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCS HOME CARE OF WESTCHESTER 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:
A & J HOME CARE
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:
1639602642
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6520 NEW UTRECHT AVE
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:
11219-5725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-336-7110
Provider Business Mailing Address Fax Number:
347-991-9801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
280 N BEDFORD RD
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
MOUNT KISCO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10549-1141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-336-7110
Provider Business Practice Location Address Fax Number:
347-991-9801
Provider Enumeration Date:
04/06/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SHEMIA
Authorized Official First Name:
AGNES
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
718-336-7110

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  2567L001 , 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)

  • Identifier: 2567L001 . This is a "NYSDOH LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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