Provider Demographics
NPI:1669660841
Name:ISABELLA VISITING CARE INC
Entity Type:Organization
Organization Name:ISABELLA VISITING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KATOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-342-9300
Mailing Address - Street 1:515 AUDUBON AVE
Mailing Address - Street 2:ATT: FINANCE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3403
Mailing Address - Country:US
Mailing Address - Phone:212-342-9300
Mailing Address - Fax:212-781-6303
Practice Address - Street 1:515 AUDUBON AVE
Practice Address - Street 2:ATT: FINANCE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3403
Practice Address - Country:US
Practice Address - Phone:212-342-9300
Practice Address - Fax:212-781-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health