Provider Demographics
NPI:1417377219
Name:TRI-BOROUGH HEALTH CAREERS, LLC
Entity Type:Organization
Organization Name:TRI-BOROUGH HEALTH CAREERS, LLC
Other - Org Name:METROCARE HOME SERVICE, A DIVISION OF TRI-BOROUGH HEALTH CAREERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-296-0446
Mailing Address - Street 1:883 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3105
Mailing Address - Country:US
Mailing Address - Phone:347-296-0446
Mailing Address - Fax:347-770-8080
Practice Address - Street 1:883 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3105
Practice Address - Country:US
Practice Address - Phone:347-296-0446
Practice Address - Fax:347-770-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2070L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health