Provider Demographics
NPI:1326512500
Name:NEW AGYE HOME HEALTH LLC
Entity Type:Organization
Organization Name:NEW AGYE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGYEMANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-707-1571
Mailing Address - Street 1:85 RIVERDALE AVE APT A626
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-0605
Mailing Address - Country:US
Mailing Address - Phone:914-707-1571
Mailing Address - Fax:
Practice Address - Street 1:85 RIVERDALE AVE APT A626
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-0605
Practice Address - Country:US
Practice Address - Phone:914-707-1571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health