Provider Demographics
NPI:1063443646
Name:CLASSIC HEALTHCARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:CLASSIC HEALTHCARE SOLUTIONS, INC.
Other - Org Name:CLASSIC HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:VP ADMIN SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-352-7530
Mailing Address - Street 1:762 SUMMA AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5011
Mailing Address - Country:US
Mailing Address - Phone:516-997-1200
Mailing Address - Fax:516-997-7611
Practice Address - Street 1:762 SUMMA AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5011
Practice Address - Country:US
Practice Address - Phone:516-997-1200
Practice Address - Fax:516-997-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies