Provider Demographics
NPI:1396051694
Name:ASSISTCAREHOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ASSISTCAREHOME HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARI
Authorized Official - Middle Name:
Authorized Official - Last Name:REBECCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-841-8000
Mailing Address - Street 1:148 39TH STREET, IC BLDG 19-4TH FLOOR A/B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2550
Mailing Address - Country:US
Mailing Address - Phone:718-841-8000
Mailing Address - Fax:718-841-8100
Practice Address - Street 1:148 39TH ST BLDG 19-4TH
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-2550
Practice Address - Country:US
Practice Address - Phone:718-841-8000
Practice Address - Fax:718-841-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1519L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY251E00000XOtherHOME HEALTH