Provider Demographics
NPI:1366840092
Name:ALBAY HOMECARE LLC
Entity Type:Organization
Organization Name:ALBAY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-422-8347
Mailing Address - Street 1:3817 GRAPHIC PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3503
Mailing Address - Country:US
Mailing Address - Phone:714-422-8347
Mailing Address - Fax:972-596-3045
Practice Address - Street 1:3817 GRAPHIC PL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3503
Practice Address - Country:US
Practice Address - Phone:714-422-8347
Practice Address - Fax:972-596-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care