Provider Demographics
NPI:1508378712
Name:HEALTH AIDE INC
Entity Type:Organization
Organization Name:HEALTH AIDE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:POLSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-881-3382
Mailing Address - Street 1:670 MYRTLE AVENUE
Mailing Address - Street 2:PMB 564
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205
Mailing Address - Country:US
Mailing Address - Phone:347-881-3382
Mailing Address - Fax:212-937-2101
Practice Address - Street 1:618 SAW MILL RIVER RD STE 12
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-4098
Practice Address - Country:US
Practice Address - Phone:347-620-6226
Practice Address - Fax:212-937-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05340450Medicaid