Provider Demographics
NPI:1568966539
Name:CAREFIRST LICENSED HOME CARE SERVICES
Entity Type:Organization
Organization Name:CAREFIRST LICENSED HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGALIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-678-9087
Mailing Address - Street 1:40 CAROLINA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-7206
Mailing Address - Country:US
Mailing Address - Phone:917-678-9087
Mailing Address - Fax:
Practice Address - Street 1:405 RXR PLZ
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11556-3811
Practice Address - Country:US
Practice Address - Phone:917-678-9087
Practice Address - Fax:516-706-6625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health