Provider Demographics
NPI:1629533104
Name:BETH ISRAEL HOMECARE INC
Entity Type:Organization
Organization Name:BETH ISRAEL HOMECARE INC
Other - Org Name:AMERICAN HOMECARE IN NY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:G
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-796-2018
Mailing Address - Street 1:41 MOTT ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5041
Mailing Address - Country:US
Mailing Address - Phone:212-796-2018
Mailing Address - Fax:212-796-2848
Practice Address - Street 1:41 MOTT ST UNIT B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5041
Practice Address - Country:US
Practice Address - Phone:212-796-2018
Practice Address - Fax:212-796-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health