Provider Demographics
NPI:1629154455
Name:FAMILY HOME CARE SERVICES OF BROOKLYN & QUEENS, INC.
Entity Type:Organization
Organization Name:FAMILY HOME CARE SERVICES OF BROOKLYN & QUEENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-832-0550
Mailing Address - Street 1:168 7TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-7095
Mailing Address - Country:US
Mailing Address - Phone:718-832-0550
Mailing Address - Fax:718-832-1147
Practice Address - Street 1:168 7TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-7095
Practice Address - Country:US
Practice Address - Phone:718-832-0550
Practice Address - Fax:718-832-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7004L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health