Provider Demographics
NPI:1417406679
Name:M AND N HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:M AND N HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMIUL
Authorized Official - Middle Name:ANAM
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:646-246-5905
Mailing Address - Street 1:6439B 186TH LN
Mailing Address - Street 2:APT 1A
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3654
Mailing Address - Country:US
Mailing Address - Phone:646-246-5905
Mailing Address - Fax:
Practice Address - Street 1:16843 HILLSIDE AVE
Practice Address - Street 2:2 ND FLOOR
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4440
Practice Address - Country:US
Practice Address - Phone:646-246-5905
Practice Address - Fax:646-930-5994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4932223253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care