Provider Demographics
NPI:1750827127
Name:IMMIGRANT ELDER HOME CARE LLC
Entity Type:Organization
Organization Name:IMMIGRANT ELDER HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIASH
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-744-7308
Mailing Address - Street 1:4320 57TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4754
Mailing Address - Country:US
Mailing Address - Phone:917-744-7308
Mailing Address - Fax:347-472-1210
Practice Address - Street 1:4320 57TH ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4754
Practice Address - Country:US
Practice Address - Phone:917-744-7308
Practice Address - Fax:347-472-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health