Provider Demographics
NPI:1043378235
Name:HOME HEALTH CARE PARTNERS
Entity Type:Organization
Organization Name:HOME HEALTH CARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUALINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARCELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-842-6718
Mailing Address - Street 1:1830 RIVERFRONT CTR
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-4621
Mailing Address - Country:US
Mailing Address - Phone:518-842-6718
Mailing Address - Fax:518-842-8357
Practice Address - Street 1:1830 RIVERFRONT CTR
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-4621
Practice Address - Country:US
Practice Address - Phone:518-842-6718
Practice Address - Fax:518-842-8357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9539L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9539L001OtherDOH LICENSE