Provider Demographics
NPI:1346759362
Name:ENTIRE CARE INC.
Entity Type:Organization
Organization Name:ENTIRE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOROGODSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-484-4449
Mailing Address - Street 1:2899 OCEAN AVENUE
Mailing Address - Street 2:FLOOR 2, SUITE 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3201
Mailing Address - Country:US
Mailing Address - Phone:718-484-4449
Mailing Address - Fax:
Practice Address - Street 1:2899 OCEAN AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3201
Practice Address - Country:US
Practice Address - Phone:718-484-4449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2057L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health