Provider Demographics
NPI:1871849109
Name:EOM, SERVICES
Entity Type:Organization
Organization Name:EOM, SERVICES
Other - Org Name:BRIGHTSTAR OF SOUTH BROOKLYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-210-3626
Mailing Address - Street 1:813 QUENTIN RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2251
Mailing Address - Country:US
Mailing Address - Phone:718-210-3626
Mailing Address - Fax:718-210-3625
Practice Address - Street 1:813 QUENTIN RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2251
Practice Address - Country:US
Practice Address - Phone:718-210-3626
Practice Address - Fax:718-210-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health