Provider Demographics
NPI:1285223164
Name:HARBOR CARE LLC
Entity Type:Organization
Organization Name:HARBOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR
Authorized Official - Prefix:
Authorized Official - First Name:ALIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLUGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-646-5700
Mailing Address - Street 1:3900 SHORE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1130
Mailing Address - Country:US
Mailing Address - Phone:718-646-2432
Mailing Address - Fax:
Practice Address - Street 1:3900 SHORE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1130
Practice Address - Country:US
Practice Address - Phone:718-646-2432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health