Provider Demographics
NPI:1205139847
Name:BIRCH FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:BIRCH FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RINKU
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATTACHARYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-616-1824
Mailing Address - Street 1:104 W 29TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5310
Mailing Address - Country:US
Mailing Address - Phone:212-616-1800
Mailing Address - Fax:212-741-6739
Practice Address - Street 1:418 GROVE ST UNIT A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-5507
Practice Address - Country:US
Practice Address - Phone:212-616-1800
Practice Address - Fax:212-741-6739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities