Provider Demographics
NPI:1184703415
Name:CONCEPTS OF INDEPENDENCE, INC.
Entity type:Organization
Organization Name:CONCEPTS OF INDEPENDENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:212-293-9999
Mailing Address - Street 1:120 WALL ST
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3904
Mailing Address - Country:US
Mailing Address - Phone:212-293-9999
Mailing Address - Fax:212-293-3040
Practice Address - Street 1:120 WALL ST
Practice Address - Street 2:SUITE 1010
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-3904
Practice Address - Country:US
Practice Address - Phone:212-293-9999
Practice Address - Fax:212-293-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health