MEDICARE: RESTBISERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124220975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTBISERVICES INC.

Provider Business Mailing Address
First Line	:	1461 LAKELAND AVE
Second Line	:	SUITE 12
City	:	BOHEMIA
State	:	NY
Zip	:	11716-2174
Country	:	US
Telephone Number	:	631-732-4794
Fax Number	:	631-732-4794

Provider Business Practice Location Address
First Line	:	1461 LAKELAND AVE
Second Line	:	SUITE 12
City	:	BOHEMIA
State	:	NY
Zip	:	11716-2174
Country	:	US
Telephone Number	:	631-732-4794
Fax Number	:	631-732-4794

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. JOSEPH VOLLARO
Credential	:	PH.D.
Telephone Number	:	631-732-4794

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	08/30/2016

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