Provider Demographics
NPI:1134335250
Name:XL-CARE AGENCY INC.
Entity type:Organization
Organization Name:XL-CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGERMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-417-9050
Mailing Address - Street 1:6512 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6209
Mailing Address - Country:US
Mailing Address - Phone:718-417-9050
Mailing Address - Fax:718-386-3507
Practice Address - Street 1:6512 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6209
Practice Address - Country:US
Practice Address - Phone:718-417-9050
Practice Address - Fax:718-386-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6007L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00831769Medicaid