Provider Demographics
NPI:1467832584
Name:MARKS HOME CARE AGENCY OF NY, INC
Entity Type:Organization
Organization Name:MARKS HOME CARE AGENCY OF NY, INC
Other - Org Name:MARKS HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-713-0005
Mailing Address - Street 1:9717 64TH RD
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2232
Mailing Address - Country:US
Mailing Address - Phone:718-713-0005
Mailing Address - Fax:718-713-0008
Practice Address - Street 1:9717 64TH RD
Practice Address - Street 2:4TH FLOOR
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2232
Practice Address - Country:US
Practice Address - Phone:718-713-0005
Practice Address - Fax:718-713-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1923L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health