Provider Demographics
NPI:1619047131
Name:FEGS HOME ATTENDANT SERVICES, INC.
Entity Type:Organization
Organization Name:FEGS HOME ATTENDANT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:212-491-6000
Mailing Address - Street 1:424 E 147TH ST
Mailing Address - Street 2:4TH FL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4104
Mailing Address - Country:US
Mailing Address - Phone:212-491-6000
Mailing Address - Fax:212-369-2337
Practice Address - Street 1:424 E 147TH ST
Practice Address - Street 2:4TH FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4104
Practice Address - Country:US
Practice Address - Phone:212-491-6000
Practice Address - Fax:212-369-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9659L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00922270Medicaid
NY02936116-03Medicaid
NY02870753-03Medicaid