Provider Demographics
NPI:1598302630
Name:MEDI ONE HOME CARE INC
Entity Type:Organization
Organization Name:MEDI ONE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABYGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:845-642-3585
Mailing Address - Street 1:151 S MAIN ST STE LL1
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3547
Mailing Address - Country:US
Mailing Address - Phone:845-642-3585
Mailing Address - Fax:845-231-6287
Practice Address - Street 1:151 S MAIN ST STE LL1
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3547
Practice Address - Country:US
Practice Address - Phone:845-642-3585
Practice Address - Fax:845-231-6287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health