Provider Demographics
NPI:1407205297
Name:PROLIFIC CARE HEALTH ENTERPRISES LLC
Entity Type:Organization
Organization Name:PROLIFIC CARE HEALTH ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-960-5828
Mailing Address - Street 1:295 MADISON AVE STE 12FL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6434
Mailing Address - Country:US
Mailing Address - Phone:212-960-8528
Mailing Address - Fax:212-937-2115
Practice Address - Street 1:295 MADISON AVE STE 12FL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6434
Practice Address - Country:US
Practice Address - Phone:212-960-8528
Practice Address - Fax:212-937-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health