Provider Demographics
NPI:1255723631
Name:HOMEMAKERS OF WESTERN NEW YORK
Entity type:Organization
Organization Name:HOMEMAKERS OF WESTERN NEW YORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:RN ADMINISTRATOR
Authorized Official - Phone:315-379-1445
Mailing Address - Street 1:19 HODSKIN ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-1175
Mailing Address - Country:US
Mailing Address - Phone:315-379-1445
Mailing Address - Fax:315-379-1815
Practice Address - Street 1:19 HODSKIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1175
Practice Address - Country:US
Practice Address - Phone:315-379-1445
Practice Address - Fax:315-379-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316751251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health