Provider Demographics
NPI:1467827832
Name:EARLINE
Entity Type:Organization
Organization Name:EARLINE
Other - Org Name:INDEPENDENT NURSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:EARLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:917-865-5876
Mailing Address - Street 1:281 GRAND ST
Mailing Address - Street 2:8
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3675
Mailing Address - Country:US
Mailing Address - Phone:917-865-5876
Mailing Address - Fax:
Practice Address - Street 1:281 GRAND ST
Practice Address - Street 2:8
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3675
Practice Address - Country:US
Practice Address - Phone:917-865-5876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320588-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health