Provider Demographics
NPI:1902358534
Name:J S BASILE INC
Entity Type:Organization
Organization Name:J S BASILE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONKAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-306-8614
Mailing Address - Street 1:1445 PACIFIC ST
Mailing Address - Street 2:APARTMENT 2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-3218
Mailing Address - Country:US
Mailing Address - Phone:917-306-8614
Mailing Address - Fax:
Practice Address - Street 1:1445 PACIFIC ST
Practice Address - Street 2:APARTMENT 2A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-3218
Practice Address - Country:US
Practice Address - Phone:917-306-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health