Provider Demographics
NPI:1205016037
Name:ARLETTE'S HOMECARE AGENCY,INC.
Entity Type:Organization
Organization Name:ARLETTE'S HOMECARE AGENCY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLETTE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-343-8420
Mailing Address - Street 1:1685 GRAND AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1893
Mailing Address - Country:US
Mailing Address - Phone:516-377-3909
Mailing Address - Fax:516-377-3909
Practice Address - Street 1:1685 GRAND AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1893
Practice Address - Country:US
Practice Address - Phone:516-377-3909
Practice Address - Fax:516-377-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1395L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01791620Medicaid