Provider Demographics
NPI:1851567325
Name:VISITING NURSE & HOMECARE REFERRAL SERVICES OF BAY SHORE INC.
Entity Type:Organization
Organization Name:VISITING NURSE & HOMECARE REFERRAL SERVICES OF BAY SHORE INC.
Other - Org Name:ALL COUNTY HEALTH CARE REFERRAL SERVICES OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:KADER
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:212-466-6377
Mailing Address - Street 1:1010 SUFFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-4526
Mailing Address - Country:US
Mailing Address - Phone:631-328-1117
Mailing Address - Fax:631-328-1118
Practice Address - Street 1:1010 SUFFOLK AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4526
Practice Address - Country:US
Practice Address - Phone:631-328-1117
Practice Address - Fax:631-328-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1419L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health