Provider Demographics
NPI:1891179974
Name:A & J JOME CARE
Entity Type:Organization
Organization Name:A & J JOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-875-1421
Mailing Address - Street 1:1650 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5808
Mailing Address - Country:US
Mailing Address - Phone:914-242-0233
Mailing Address - Fax:914-242-0389
Practice Address - Street 1:280 N BEDFORD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1141
Practice Address - Country:US
Practice Address - Phone:914-242-0233
Practice Address - Fax:914-242-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1416L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02967480Medicaid