Provider Demographics
NPI:1275932550
Name:PRABHU KUMAR
Entity Type:Organization
Organization Name:PRABHU KUMAR
Other - Org Name:HORIZON HEALTHCARE STAFFING
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:PRABHU
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-592-8000
Mailing Address - Street 1:8528 253RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426
Mailing Address - Country:US
Mailing Address - Phone:347-592-8000
Mailing Address - Fax:
Practice Address - Street 1:8528 253RD ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2132
Practice Address - Country:US
Practice Address - Phone:347-592-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY649119251J00000X, 273Y00000X, 3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No251J00000XAgenciesNursing Care
No273Y00000XHospital UnitsRehabilitation Unit