Provider Demographics
NPI:1760800825
Name:ALL ISLAND CARE
Entity Type:Organization
Organization Name:ALL ISLAND CARE
Other - Org Name:ALL ISLAND SENIOR HELPERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-468-2898
Mailing Address - Street 1:20920 JAMAICA AVE
Mailing Address - Street 2:280047
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-7639
Mailing Address - Country:US
Mailing Address - Phone:516-206-2441
Mailing Address - Fax:516-706-1061
Practice Address - Street 1:20920 JAMAICA AVE
Practice Address - Street 2:280047
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-7639
Practice Address - Country:US
Practice Address - Phone:516-206-2441
Practice Address - Fax:516-706-1061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4525421251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health