Provider Demographics
NPI:1043846868
Name:HOME CARE FOR ADULTS, INC.
Entity Type:Organization
Organization Name:HOME CARE FOR ADULTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MISHIEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-954-4535
Mailing Address - Street 1:99 HUDSON ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2993
Mailing Address - Country:US
Mailing Address - Phone:929-205-5558
Mailing Address - Fax:929-447-1101
Practice Address - Street 1:2561 E 65TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6926
Practice Address - Country:US
Practice Address - Phone:718-954-4535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care