Provider Demographics
NPI:1376154880
Name:CABS HOME ATTENDANTS SERVICE INC.
Entity Type:Organization
Organization Name:CABS HOME ATTENDANTS SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSNESS OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUDELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-388-0220
Mailing Address - Street 1:44 VARET ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4014
Mailing Address - Country:US
Mailing Address - Phone:718-388-0220
Mailing Address - Fax:718-388-1428
Practice Address - Street 1:44 VARET ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4014
Practice Address - Country:US
Practice Address - Phone:718-388-0220
Practice Address - Fax:718-388-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04545108Medicaid