Provider Demographics
NPI:1437560059
Name:HOMECREST COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:HOMECREST COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AILEE
Authorized Official - Middle Name:K
Authorized Official - Last Name:TSANG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:718-376-4036
Mailing Address - Street 1:1413 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3317
Mailing Address - Country:US
Mailing Address - Phone:718-376-4036
Mailing Address - Fax:718-376-4124
Practice Address - Street 1:1413 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3317
Practice Address - Country:US
Practice Address - Phone:718-376-4036
Practice Address - Fax:718-376-4124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care