Provider Demographics
NPI:1255868915
Name:BARI HOME CARE LLC
Entity Type:Organization
Organization Name:BARI HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MD
Authorized Official - Middle Name:ABU
Authorized Official - Last Name:AHSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-428-1901
Mailing Address - Street 1:4417 EXPRESS DR N
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-5519
Mailing Address - Country:US
Mailing Address - Phone:631-428-1901
Mailing Address - Fax:718-898-7100
Practice Address - Street 1:4417 EXPRESS DRIVE NORTH
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779
Practice Address - Country:US
Practice Address - Phone:631-428-1901
Practice Address - Fax:718-898-7100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARI HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170510010159302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization