Provider Demographics
NPI:1033473848
Name:PC AIDE PLUS, INC.
Entity Type:Organization
Organization Name:PC AIDE PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOUNDARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SOM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-314-6004
Mailing Address - Street 1:13893 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-1704
Mailing Address - Country:US
Mailing Address - Phone:718-949-9004
Mailing Address - Fax:718-949-9005
Practice Address - Street 1:13893 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-1704
Practice Address - Country:US
Practice Address - Phone:718-949-9004
Practice Address - Fax:718-949-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1495L001251E00000X
251G00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care