Provider Demographics
NPI:1639602642
Name:HCS HOME CARE OF WESTCHESTER INC
Entity Type:Organization
Organization Name:HCS HOME CARE OF WESTCHESTER INC
Other - Org Name:A & J HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMIA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:718-336-7110
Mailing Address - Street 1:6520 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5725
Mailing Address - Country:US
Mailing Address - Phone:718-336-7110
Mailing Address - Fax:347-991-9801
Practice Address - Street 1:280 N BEDFORD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1141
Practice Address - Country:US
Practice Address - Phone:718-336-7110
Practice Address - Fax:347-991-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2567L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2567L001OtherNYSDOH LICENSE