Provider Demographics
NPI:1114430931
Name:PARACLETE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PARACLETE HOME HEALTH CARE, LLC
Other - Org Name:PARACLETE CONCIERGE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-427-2132
Mailing Address - Street 1:50 GERARD ST STE 100B
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6967
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 GERARD ST STE 100B
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6967
Practice Address - Country:US
Practice Address - Phone:613-427-3132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARACLETE HOME HEALTH CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2002L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health