Provider Demographics
NPI:1003953803
Name:HOME HEALTH CARE SERVICES OF NY
Entity Type:Organization
Organization Name:HOME HEALTH CARE SERVICES OF NY
Other - Org Name:HCS HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC, SLP
Authorized Official - Phone:718-336-7110
Mailing Address - Street 1:6520 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5725
Mailing Address - Country:US
Mailing Address - Phone:718-336-7110
Mailing Address - Fax:347-991-9801
Practice Address - Street 1:1650 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230
Practice Address - Country:US
Practice Address - Phone:718-336-7110
Practice Address - Fax:718-336-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1064L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health