Provider Demographics
NPI:1972914828
Name:PARACLETE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PARACLETE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:631-523-2344
Mailing Address - Street 1:50 GERARD STREET
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6927
Mailing Address - Country:US
Mailing Address - Phone:631-523-2344
Mailing Address - Fax:
Practice Address - Street 1:50 GERARD ST
Practice Address - Street 2:SUITE 100B
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7060
Practice Address - Country:US
Practice Address - Phone:631-523-2344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2002L001251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care