Provider Demographics
NPI:1245756709
Name:BLUEBIRD F.I. LLC
Entity Type:Organization
Organization Name:BLUEBIRD F.I. LLC
Other - Org Name:BLUEBIRD SELF HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AVROHOM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-222-3727
Mailing Address - Street 1:1554 63RD ST STE 206
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5418
Mailing Address - Country:US
Mailing Address - Phone:718-222-3727
Mailing Address - Fax:718-831-2090
Practice Address - Street 1:1554 63RD ST STE 206
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5418
Practice Address - Country:US
Practice Address - Phone:718-222-3727
Practice Address - Fax:718-831-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04761506Medicaid