Provider Demographics
NPI:1013062330
Name:HENRY STREET HOUSEKEEPING ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:HENRY STREET HOUSEKEEPING ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUME
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:212-766-9200
Mailing Address - Street 1:265 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4808
Mailing Address - Country:US
Mailing Address - Phone:212-766-9200
Mailing Address - Fax:212-791-5710
Practice Address - Street 1:265 HENRY ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4808
Practice Address - Country:US
Practice Address - Phone:212-766-9200
Practice Address - Fax:212-791-5710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00933142Medicaid