Provider Demographics
NPI:1124220975
Name:RESTBISERVICES INC.
Entity Type:Organization
Organization Name:RESTBISERVICES INC.
Other - Org Name:RES HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLLARO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-732-4794
Mailing Address - Street 1:1461 LAKELAND AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2174
Mailing Address - Country:US
Mailing Address - Phone:631-732-4794
Mailing Address - Fax:631-732-4794
Practice Address - Street 1:1461 LAKELAND AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2174
Practice Address - Country:US
Practice Address - Phone:631-732-4794
Practice Address - Fax:631-732-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03160785Medicaid