Provider Demographics
NPI:1558973156
Name:MULTICOMMUNITY SERVICES AT 95
Entity Type:Organization
Organization Name:MULTICOMMUNITY SERVICES AT 95
Other - Org Name:AGELASS BEAUTY HOMECARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:CREARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-676-0133
Mailing Address - Street 1:1034 RUTLAND RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2374
Mailing Address - Country:US
Mailing Address - Phone:718-676-0133
Mailing Address - Fax:718-221-6781
Practice Address - Street 1:1034 RUTLAND RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2374
Practice Address - Country:US
Practice Address - Phone:718-676-0133
Practice Address - Fax:718-221-6781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty