Provider Demographics
NPI:1063864536
Name:OSSIA CARE
Entity Type:Organization
Organization Name:OSSIA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CHIEF OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OSSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-943-4764
Mailing Address - Street 1:PO BOX 220065
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11022-0065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2741
Practice Address - Country:US
Practice Address - Phone:516-943-4764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care