Provider Demographics
NPI:1457838492
Name:AMERICA HOMECARE AGENCY SERVICES CORPORATION
Entity Type:Organization
Organization Name:AMERICA HOMECARE AGENCY SERVICES CORPORATION
Other - Org Name:AMERICA HOMECARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHETOORA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-986-6465
Mailing Address - Street 1:1438 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-2823
Mailing Address - Country:US
Mailing Address - Phone:518-444-7400
Mailing Address - Fax:518-982-1561
Practice Address - Street 1:1438 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-2823
Practice Address - Country:US
Practice Address - Phone:518-444-7400
Practice Address - Fax:518-982-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2456L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health