Provider Demographics
NPI:1437715935
Name:IGOR HOMECARE INC
Entity Type:Organization
Organization Name:IGOR HOMECARE INC
Other - Org Name:GUARDIAN HOMECARE OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HCS COORDINATORS
Authorized Official - Prefix:
Authorized Official - First Name:ANASTALETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-365-0901
Mailing Address - Street 1:621 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-2649
Mailing Address - Country:US
Mailing Address - Phone:914-365-8283
Mailing Address - Fax:
Practice Address - Street 1:300 CADMAN PLZ W FL 12
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3226
Practice Address - Country:US
Practice Address - Phone:914-365-8283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health