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NPI Code Detail

MEDICARE: RISHAVENA HOME HEALTH CARE AGENCY INC.

MEDICARE: RISHAVENA HOME HEALTH CARE AGENCY 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
1251E00000XHome Health Agency1421-LNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11421-LOTHERNYLICENSED HOME HEALTH CARE AGENCY INC

General Provider Information

NPI Number : 1225203524
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISHAVENA HOME HEALTH CARE AGENCY INC.
Provider Business Mailing Address
First Line : 1338 E 69TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5703
Country : US
Telephone Number : 718-251-1231
Fax Number : 718-305-4868
Provider Business Practice Location Address
First Line : 1338 E 69TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5703
Country : US
Telephone Number : 718-251-1231
Fax Number : 718-305-4868
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. MARC RICHARD HILAIRE
Credential : M.D.
Telephone Number : 718-251-1231
Provider Enumeration Date : 04/28/2008
Last Update Date : 04/28/2008

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Directions to “RISHAVENA HOME HEALTH CARE AGENCY INC. ” Practice Location

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