Provider Demographics
NPI:1043672769
Name:JOYFUL NY LLC
Entity Type:Organization
Organization Name:JOYFUL NY LLC
Other - Org Name:JOYFUL HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEKKATTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-737-1000
Mailing Address - Street 1:1344 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3583
Mailing Address - Country:US
Mailing Address - Phone:631-737-1000
Mailing Address - Fax:
Practice Address - Street 1:1344 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3583
Practice Address - Country:US
Practice Address - Phone:631-737-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2104L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health