Provider Demographics
NPI:1689135774
Name:ONE STOP HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:ONE STOP HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIONORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVLANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-808-9908
Mailing Address - Street 1:108-10 72ND AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-808-9908
Mailing Address - Fax:718-808-9909
Practice Address - Street 1:108-10 72ND AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-808-9908
Practice Address - Fax:718-808-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health