Provider Demographics
NPI:1376743112
Name:AMERICAN BIOMED HOMECARE
Entity Type:Organization
Organization Name:AMERICAN BIOMED HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:REID
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:718-235-0100
Mailing Address - Street 1:11 WYONA ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-2515
Mailing Address - Country:US
Mailing Address - Phone:718-235-0100
Mailing Address - Fax:718-235-8915
Practice Address - Street 1:11 WYONA ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-2515
Practice Address - Country:US
Practice Address - Phone:718-235-0100
Practice Address - Fax:718-235-8915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9111L001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility