Provider Demographics
NPI:1972026060
Name:REST ASSURED HOME CARE INC
Entity Type:Organization
Organization Name:REST ASSURED HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-624-7354
Mailing Address - Street 1:128 MOHAWK ST
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-3526
Mailing Address - Country:US
Mailing Address - Phone:631-624-7354
Mailing Address - Fax:631-588-1889
Practice Address - Street 1:128 MOHAWK ST
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-3526
Practice Address - Country:US
Practice Address - Phone:631-624-7354
Practice Address - Fax:631-588-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care