Provider Demographics
NPI:1255537254
Name:METRO INTERFAITH HOME CARE
Entity type:Organization
Organization Name:METRO INTERFAITH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEOPRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:RHINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-772-6766
Mailing Address - Street 1:21 NEW ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-1759
Mailing Address - Country:US
Mailing Address - Phone:607-772-6766
Mailing Address - Fax:607-722-8912
Practice Address - Street 1:21 NEW ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-1759
Practice Address - Country:US
Practice Address - Phone:607-772-6766
Practice Address - Fax:607-722-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9954L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health