Provider Demographics
NPI:1245602317
Name:ATTENTIVE HOME CARE, INC
Entity Type:Organization
Organization Name:ATTENTIVE HOME CARE, INC
Other - Org Name:ALWAYS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUSTILNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-843-8430
Mailing Address - Street 1:11325 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7018
Mailing Address - Country:US
Mailing Address - Phone:718-943-0900
Mailing Address - Fax:718-943-0902
Practice Address - Street 1:11325 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7018
Practice Address - Country:US
Practice Address - Phone:718-943-0900
Practice Address - Fax:718-943-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1839L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health