Provider Demographics
NPI:1720559271
Name:NY HOME CARE SELECT LLC
Entity Type:Organization
Organization Name:NY HOME CARE SELECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MURRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-375-6700
Mailing Address - Street 1:33 W HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-6207
Mailing Address - Country:US
Mailing Address - Phone:718-375-6700
Mailing Address - Fax:718-375-1555
Practice Address - Street 1:33 W HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-6207
Practice Address - Country:US
Practice Address - Phone:718-375-6700
Practice Address - Fax:718-375-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health