Provider Demographics
NPI:1922355270
Name:AURORA HOME CARE INC
Entity Type:Organization
Organization Name:AURORA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PROEFROCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:716-946-5867
Mailing Address - Street 1:27 JOSEPH DR APT A
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-6251
Mailing Address - Country:US
Mailing Address - Phone:716-946-5867
Mailing Address - Fax:
Practice Address - Street 1:27 JOSEPH DR APT A
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-6251
Practice Address - Country:US
Practice Address - Phone:716-946-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY645508-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health