Provider Demographics
NPI:1710935549
Name:DATAHR HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:DATAHR HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:I
Authorized Official - Last Name:PASQUALINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-994-1376
Mailing Address - Street 1:50 CLINTON ST STE 601
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-4282
Mailing Address - Country:US
Mailing Address - Phone:516-932-7799
Mailing Address - Fax:516-932-1415
Practice Address - Street 1:120 KISCO AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1415
Practice Address - Country:US
Practice Address - Phone:914-242-1903
Practice Address - Fax:914-242-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5946600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02558125Medicaid
NY337422Medicare ID - Type UnspecifiedPROVIDER NUMBER