Provider Demographics
NPI:1639658834
Name:DESIGN HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:DESIGN HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELISSIER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-276-8986
Mailing Address - Street 1:11634 203RD ST FL 1
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-3220
Mailing Address - Country:US
Mailing Address - Phone:718-276-8986
Mailing Address - Fax:
Practice Address - Street 1:11634 203RD ST FL 1
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-3220
Practice Address - Country:US
Practice Address - Phone:718-276-8986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care