Provider Demographics
NPI:1598832651
Name:THEROX HOME CARE
Entity Type:Organization
Organization Name:THEROX HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-331-2520
Mailing Address - Street 1:118 RALPH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-4005
Mailing Address - Country:US
Mailing Address - Phone:718-331-2520
Mailing Address - Fax:718-331-2360
Practice Address - Street 1:118 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-4005
Practice Address - Country:US
Practice Address - Phone:718-331-2520
Practice Address - Fax:718-331-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0217580001Medicare NSC