Provider Demographics
NPI:1558819524
Name:HEALTHY AGING HOMECARE, INC.
Entity Type:Organization
Organization Name:HEALTHY AGING HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FULOP
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-854-7620
Mailing Address - Street 1:126 NOSTRAND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2823
Mailing Address - Country:US
Mailing Address - Phone:646-854-7620
Mailing Address - Fax:
Practice Address - Street 1:126 NOSTRAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2823
Practice Address - Country:US
Practice Address - Phone:646-854-7620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care