Provider Demographics
NPI:1255100129
Name:A1 SERVICE CORDINATION LLC
Entity type:Organization
Organization Name:A1 SERVICE CORDINATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIMOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-432-6689
Mailing Address - Street 1:7 SKYLINE DR STE 350
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2162
Mailing Address - Country:US
Mailing Address - Phone:914-432-6689
Mailing Address - Fax:914-931-2595
Practice Address - Street 1:7 SKYLINE DR STE 350
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2162
Practice Address - Country:US
Practice Address - Phone:914-432-6689
Practice Address - Fax:914-931-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health