Provider Demographics
NPI:1770026130
Name:CARING SHEPHERD HHC AGENCY, LLC
Entity Type:Organization
Organization Name:CARING SHEPHERD HHC AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIASSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-430-0149
Mailing Address - Street 1:66 NORFOLK DR W
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4814
Mailing Address - Country:US
Mailing Address - Phone:866-446-5858
Mailing Address - Fax:718-223-3412
Practice Address - Street 1:66 NORFOLK DR W
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4814
Practice Address - Country:US
Practice Address - Phone:866-446-5858
Practice Address - Fax:718-233-3412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04563306OtherPROVIDER IDENTIFICATION