Provider Demographics
NPI:1720270291
Name:AMERICAN CHORE SERVICES
Entity Type:Organization
Organization Name:AMERICAN CHORE SERVICES
Other - Org Name:CITY CHOICE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DYKSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-645-1116
Mailing Address - Street 1:2709 CONEY ISLAND AVE
Mailing Address - Street 2:2 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5062
Mailing Address - Country:US
Mailing Address - Phone:718-645-1116
Mailing Address - Fax:718-645-1307
Practice Address - Street 1:2709 CONEY ISLAND AVE
Practice Address - Street 2:2 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5002
Practice Address - Country:US
Practice Address - Phone:718-645-1116
Practice Address - Fax:718-645-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1268L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02714390Medicaid