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NPI Code Detail

MEDICARE: JOS-EL CARE AGENCY, INC

MEDICARE: JOS-EL 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 Agency9609L001NY
2251E00000XHome Health Agency9609L002NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29609L002OTHERNYLHCSA - LICENSE #
39609L001OTHERNYLHCSA - LICENSE #

General Provider Information

NPI Number : 1700925674
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOS-EL CARE AGENCY, INC
Provider Business Mailing Address
First Line : 13 CLEVELAND ST
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-6003
Country : US
Telephone Number : 516-823-0739
Fax Number : 516-823-1550
Provider Business Practice Location Address
First Line : 13 CLEVELAND ST
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-6003
Country : US
Telephone Number : 516-823-0739
Fax Number : 516-823-1550
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. ELIZABETH N GONSALVES
Credential : RN
Telephone Number : 516-823-0739
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/22/2020

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Directions to “JOS-EL CARE AGENCY, INC ” Practice Location

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