Provider Demographics
NPI:1568176345
Name:ELDER CARE HOMECARE LLC
Entity Type:Organization
Organization Name:ELDER CARE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-815-0561
Mailing Address - Street 1:750 E MAIN ST STE 620
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3872
Mailing Address - Country:US
Mailing Address - Phone:914-815-0561
Mailing Address - Fax:
Practice Address - Street 1:750 E MAIN ST STE 620
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3872
Practice Address - Country:US
Practice Address - Phone:914-815-0561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care