Provider Demographics
NPI:1659647451
Name:HOME CARE FOR CHILDREN, INC
Entity Type:Organization
Organization Name:HOME CARE FOR CHILDREN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FASHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:516-884-8100
Mailing Address - Street 1:2116 MERRICK AVE
Mailing Address - Street 2:2002
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3457
Mailing Address - Country:US
Mailing Address - Phone:516-867-7042
Mailing Address - Fax:516-379-0612
Practice Address - Street 1:2116 MERRICK AVE
Practice Address - Street 2:2002
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3457
Practice Address - Country:US
Practice Address - Phone:516-867-7042
Practice Address - Fax:516-379-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268330-1251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services