Provider Demographics
NPI:1790222511
Name:CONFIDENCE HOME CARE LLC
Entity Type:Organization
Organization Name:CONFIDENCE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIEMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-395-7768
Mailing Address - Street 1:13228 41ST AVE
Mailing Address - Street 2:2B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3628
Mailing Address - Country:US
Mailing Address - Phone:718-888-7988
Mailing Address - Fax:
Practice Address - Street 1:13228 41ST AVE
Practice Address - Street 2:2B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3628
Practice Address - Country:US
Practice Address - Phone:718-888-7988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health