Provider Demographics
NPI:1093367039
Name:FSNR CHHA LLC
Entity Type:Organization
Organization Name:FSNR CHHA LLC
Other - Org Name:FOUR SEASONS NURSING AND REAHBILITATION CERTIFIED HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-927-6346
Mailing Address - Street 1:1535 ROCKAWAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1535 ROCKAWAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4001
Practice Address - Country:US
Practice Address - Phone:718-307-5460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health