Provider Demographics
NPI:1366825226
Name:NEW VISION HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:NEW VISION HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-696-5001
Mailing Address - Street 1:40 SAW MILL RIVER RD LOWR LL7
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1539
Mailing Address - Country:US
Mailing Address - Phone:914-449-8021
Mailing Address - Fax:914-931-2595
Practice Address - Street 1:245 SAW MILL RIVER RD
Practice Address - Street 2:SUITE 106
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1526
Practice Address - Country:US
Practice Address - Phone:646-696-5001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2085L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2085L001OtherHOME CARE LICENSE