Provider Demographics
NPI:1083753057
Name:FOREMOST HOME CARE
Entity Type:Organization
Organization Name:FOREMOST HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-564-3722
Mailing Address - Street 1:115 W 30TH ST
Mailing Address - Street 2:SUITE 500A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4010
Mailing Address - Country:US
Mailing Address - Phone:212-564-3722
Mailing Address - Fax:212-564-7517
Practice Address - Street 1:115 W 30TH ST
Practice Address - Street 2:SUITE 500A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4010
Practice Address - Country:US
Practice Address - Phone:212-564-3722
Practice Address - Fax:212-564-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0464L002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0464L002OtherNYS DOH LICENSE NUMBER