Provider Demographics
NPI:1003156225
Name:ISABELLA CARE AT HOME INC
Entity Type:Organization
Organization Name:ISABELLA CARE AT HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:KATOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-342-9300
Mailing Address - Street 1:5073 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1131
Mailing Address - Country:US
Mailing Address - Phone:212-342-9309
Mailing Address - Fax:212-342-9666
Practice Address - Street 1:515 AUDUBON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3403
Practice Address - Country:US
Practice Address - Phone:212-342-9309
Practice Address - Fax:212-342-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health