MEDICARE: ADISAS HELPING HAND HOME CARE SERVICE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1649007063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADISAS HELPING HAND HOME CARE SERVICE

Provider Business Mailing Address
First Line	:	1212 TROY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 TROY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5728
Country	:	US
Telephone Number	:	347-844-2944
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JELILAT SARUMI
Credential	:
Telephone Number	:	347-844-2944

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	09/26/2024

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