Provider Demographics
NPI:1144768763
Name:HARTSDALE ENTERPRISE, INC.
Entity Type:Organization
Organization Name:HARTSDALE ENTERPRISE, INC.
Other - Org Name:HELPING HEARTS AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-807-2262
Mailing Address - Street 1:445 BROADHOLLOW RD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3669
Mailing Address - Country:US
Mailing Address - Phone:631-881-0029
Mailing Address - Fax:631-881-0818
Practice Address - Street 1:10 HARTSDALE ST
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1642
Practice Address - Country:US
Practice Address - Phone:631-881-0029
Practice Address - Fax:631-881-0818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care