Provider Demographics
NPI:1770021586
Name:BIG HEART HOME CARE
Entity type:Organization
Organization Name:BIG HEART HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:REZNIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-542-4150
Mailing Address - Street 1:1302 KINGS HIGHWAY
Mailing Address - Street 2:3 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:347-542-4150
Mailing Address - Fax:347-542-4152
Practice Address - Street 1:1302 KINGS HWY FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1964
Practice Address - Country:US
Practice Address - Phone:347-542-4150
Practice Address - Fax:347-542-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1412L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health