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NPI Code Detail

MEDICARE: TRI-BOROUGH HOME CARE LTD

MEDICARE: TRI-BOROUGH HOME CARE LTD
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 Agency

General Provider Information

NPI Number : 1306858345
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-BOROUGH HOME CARE LTD
Provider Business Mailing Address
First Line : 1414 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203
Country : US
Telephone Number : 718-282-7619
Fax Number : 718-282-7314
Provider Business Practice Location Address
First Line : 1414 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203
Country : US
Telephone Number : 718-282-7619
Fax Number : 718-282-7314
Authorized Official
Title or Position : PRESIDENT / CEO
Name : MR. KENRICK CORT
Credential :
Telephone Number : 718-282-7619
Provider Enumeration Date : 08/11/2006
Last Update Date : 10/03/2024

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Directions to “TRI-BOROUGH HOME CARE LTD ” Practice Location

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