Provider Demographics
NPI:1215223169
Name:HOME CLEAN HOME, INC.
Entity Type:Organization
Organization Name:HOME CLEAN HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-627-5781
Mailing Address - Street 1:1323 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6050
Mailing Address - Country:US
Mailing Address - Phone:718-627-5781
Mailing Address - Fax:718-679-9656
Practice Address - Street 1:1323 E 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6050
Practice Address - Country:US
Practice Address - Phone:718-627-5781
Practice Address - Fax:718-679-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty