Provider Demographics
NPI:1851985782
Name:YOUR HOMECARE SERVICES
Entity Type:Organization
Organization Name:YOUR HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TUSHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-732-9150
Mailing Address - Street 1:9717 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1845
Mailing Address - Country:US
Mailing Address - Phone:646-732-9150
Mailing Address - Fax:
Practice Address - Street 1:118 S OCEAN AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-7203
Practice Address - Country:US
Practice Address - Phone:646-732-9150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care