Provider Demographics
NPI:1962672626
Name:DORWIN HOME CARE INC
Entity Type:Organization
Organization Name:DORWIN HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVONISH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:347-453-1376
Mailing Address - Street 1:8869 195TH PL
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2028
Mailing Address - Country:US
Mailing Address - Phone:718-776-1171
Mailing Address - Fax:718-776-1148
Practice Address - Street 1:8869 195TH PL
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2028
Practice Address - Country:US
Practice Address - Phone:718-776-1171
Practice Address - Fax:718-776-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1357L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health