Provider Demographics
NPI:1255874087
Name:SILVER LINING HOMECARE AGENCY, INC.
Entity type:Organization
Organization Name:SILVER LINING HOMECARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:JOFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-921-2232
Mailing Address - Street 1:1115 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5019
Mailing Address - Country:US
Mailing Address - Phone:718-717-8337
Mailing Address - Fax:718-717-8794
Practice Address - Street 1:1115 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5019
Practice Address - Country:US
Practice Address - Phone:718-717-8337
Practice Address - Fax:718-717-8794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2203L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04484231Medicaid