Provider Demographics
NPI:1437672805
Name:HIGH STANDARD CDPAP LLC
Entity Type:Organization
Organization Name:HIGH STANDARD CDPAP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAROBEY
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:718-577-1099
Mailing Address - Street 1:103 QUENTIN RD UNIT G1-2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1173
Mailing Address - Country:US
Mailing Address - Phone:718-577-1099
Mailing Address - Fax:718-975-0138
Practice Address - Street 1:103 QUENTIN RD UNIT G1-2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1173
Practice Address - Country:US
Practice Address - Phone:718-577-1099
Practice Address - Fax:718-975-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health