Provider Demographics
NPI:1265844856
Name:PARK HOME CARE INC.
Entity Type:Organization
Organization Name:PARK HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TZIPORA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAUSSIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-792-3505
Mailing Address - Street 1:1274 49TH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3011
Mailing Address - Country:US
Mailing Address - Phone:347-792-3505
Mailing Address - Fax:
Practice Address - Street 1:1274 49TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3011
Practice Address - Country:US
Practice Address - Phone:347-792-3505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-30
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health