Provider Demographics
NPI:1790859882
Name:CABS HOUSEKEEPER SERVICE, INC.
Entity Type:Organization
Organization Name:CABS HOUSEKEEPER SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-388-1601
Mailing Address - Street 1:545 BROADWAY
Mailing Address - Street 2:3FL.
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-2962
Mailing Address - Country:US
Mailing Address - Phone:718-388-1601
Mailing Address - Fax:718-388-4143
Practice Address - Street 1:545 BROADWAY
Practice Address - Street 2:3FL.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2962
Practice Address - Country:US
Practice Address - Phone:718-388-1601
Practice Address - Fax:718-388-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00926536Medicaid