Provider Demographics
NPI:1306392378
Name:ICARE NY HOME HEALTH, INC
Entity Type:Organization
Organization Name:ICARE NY HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERCY ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-387-8235
Mailing Address - Street 1:3100 47TH AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3013
Mailing Address - Country:US
Mailing Address - Phone:646-766-9347
Mailing Address - Fax:
Practice Address - Street 1:3100 47TH AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3013
Practice Address - Country:US
Practice Address - Phone:646-766-9347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health