Provider Demographics
NPI:1598122806
Name:GARDEN HOME CARE LLC
Entity Type:Organization
Organization Name:GARDEN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-877-7171
Mailing Address - Street 1:3456 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1214
Mailing Address - Country:US
Mailing Address - Phone:716-877-7171
Mailing Address - Fax:716-877-6383
Practice Address - Street 1:3456 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14217-1214
Practice Address - Country:US
Practice Address - Phone:716-877-7171
Practice Address - Fax:716-877-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health