Provider Demographics
NPI:1003484148
Name:AMERITECH HOMECARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:AMERITECH HOMECARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:PAYAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:THAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-425-4070
Mailing Address - Street 1:42 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4606
Mailing Address - Country:US
Mailing Address - Phone:347-443-3787
Mailing Address - Fax:516-775-0706
Practice Address - Street 1:1 HOLLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1543
Practice Address - Country:US
Practice Address - Phone:718-425-4070
Practice Address - Fax:516-775-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2212L001OtherLICENSED HOMECARE SERVICES AGENCY (LHSA)