Provider Demographics
NPI:1427584739
Name:NEW YORK REGIONAL HOMECARE LLC
Entity Type:Organization
Organization Name:NEW YORK REGIONAL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NERISSA
Authorized Official - Middle Name:ARNALDO
Authorized Official - Last Name:DENARO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:585-465-9962
Mailing Address - Street 1:3545 BUFFALO RD
Mailing Address - Street 2:2
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1119
Mailing Address - Country:US
Mailing Address - Phone:585-861-6817
Mailing Address - Fax:585-672-4673
Practice Address - Street 1:3545 BUFFALO RD
Practice Address - Street 2:2B
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1119
Practice Address - Country:US
Practice Address - Phone:585-861-6817
Practice Address - Fax:585-672-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04690566Medicaid