Provider Demographics
NPI:1922199777
Name:AIDES AT HOME INC
Entity Type:Organization
Organization Name:AIDES AT HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-646-1900
Mailing Address - Street 1:29 W MARIE ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3800
Mailing Address - Country:US
Mailing Address - Phone:516-931-5850
Mailing Address - Fax:516-931-5880
Practice Address - Street 1:29 W MARIE ST
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3800
Practice Address - Country:US
Practice Address - Phone:516-931-5850
Practice Address - Fax:516-931-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0605L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02515979Medicaid
NY03061052Medicaid
NY00354669Medicaid