Provider Demographics
NPI:1710478730
Name:HOMECARE NORTH INC
Entity Type:Organization
Organization Name:HOMECARE NORTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA HYDELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RABANERA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-792-9260
Mailing Address - Street 1:6419 83RD PL # 2F
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2421
Mailing Address - Country:US
Mailing Address - Phone:347-792-9260
Mailing Address - Fax:
Practice Address - Street 1:6419 83RD PL # 2F
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2421
Practice Address - Country:US
Practice Address - Phone:347-792-9260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty