Provider Demographics
NPI:1972539633
Name:C&C HOMECARE INC.
Entity Type:Organization
Organization Name:C&C HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-349-8610
Mailing Address - Street 1:125 NEWTOWN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4314
Mailing Address - Country:US
Mailing Address - Phone:516-349-8610
Mailing Address - Fax:516-349-8611
Practice Address - Street 1:125 NEWTOWN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4314
Practice Address - Country:US
Practice Address - Phone:516-349-8610
Practice Address - Fax:516-349-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01774363Medicaid
NY1165420001Medicare NSC