Provider Demographics
NPI:1942433313
Name:F & Z HOME CARE AGENCY
Entity Type:Organization
Organization Name:F & Z HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-558-9024
Mailing Address - Street 1:16110 JAMAICA AVE
Mailing Address - Street 2:2ND FL. SUITE 208
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6149
Mailing Address - Country:US
Mailing Address - Phone:718-558-9042
Mailing Address - Fax:718-558-9028
Practice Address - Street 1:16110 JAMAICA AVE
Practice Address - Street 2:2ND FL. SUITE 208
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6149
Practice Address - Country:US
Practice Address - Phone:718-558-9042
Practice Address - Fax:718-558-9028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1636L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health