Provider Demographics
NPI:1356032106
Name:ALBERTHA'S COMPASSIONATE HOME CARE LLC
Entity type:Organization
Organization Name:ALBERTHA'S COMPASSIONATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LYDNER-BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-504-0564
Mailing Address - Street 1:770 BRONX RIVER RD APT A55
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6976
Mailing Address - Country:US
Mailing Address - Phone:917-504-0564
Mailing Address - Fax:
Practice Address - Street 1:255 W 1ST ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2735
Practice Address - Country:US
Practice Address - Phone:917-504-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care