MEDICARE: NATIONAL HOME CARE, 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	1147L001	NY

General Provider Information

NPI Number	:	1588645493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL HOME CARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 193
Second Line	:
City	:	BEDFORD
State	:	NY
Zip	:	10506-0193
Country	:	US
Telephone Number	:	973-243-5900
Fax Number	:	502-891-1427

Provider Business Practice Location Address
First Line	:	19 HOLMES LN
Second Line	:
City	:	BEDFORD
State	:	NY
Zip	:	10506-1323
Country	:	US
Telephone Number	:	973-243-5900
Fax Number	:	502-891-1427

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. ELIAS M NEMNOM
Credential	:
Telephone Number	:	973-243-5900

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	10/21/2008

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