Provider Demographics
NPI:1437437696
Name:ELDER CARE HOMECARE INC.
Entity Type:Organization
Organization Name:ELDER CARE HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA, BSW
Authorized Official - Phone:914-582-0796
Mailing Address - Street 1:111 BROOK STREET
Mailing Address - Street 2:SUITE #205
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5149
Mailing Address - Country:US
Mailing Address - Phone:914-712-5062
Mailing Address - Fax:914-355-3252
Practice Address - Street 1:111 BROOK STREET
Practice Address - Street 2:SUITE #205
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5149
Practice Address - Country:US
Practice Address - Phone:914-712-5062
Practice Address - Fax:914-355-3252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1539L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1539L001OtherNEW YORK STATE LICENSED HOME CARE AGENCY