Provider Demographics
NPI:1851666333
Name:KEARNEY HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:KEARNEY HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SEARS
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:718-472-2273
Mailing Address - Street 1:43-32 45 STREET
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11104-2302
Mailing Address - Country:US
Mailing Address - Phone:718-472-2273
Mailing Address - Fax:718-472-5224
Practice Address - Street 1:43-32 45 STREET
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11104-2302
Practice Address - Country:US
Practice Address - Phone:718-472-2273
Practice Address - Fax:718-472-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9233L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health