MEDICARE: ALLHEALTH HOME CARE, LLC

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	1407L001	NY

General Provider Information

NPI Number	:	1710112842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLHEALTH HOME CARE, LLC

Provider Business Mailing Address
First Line	:	1100 CONEY ISLAND AVE STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2343
Country	:	US
Telephone Number	:	718-434-7520
Fax Number	:	718-434-7733

Provider Business Practice Location Address
First Line	:	1100 CONEY ISLAND AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2343
Country	:	US
Telephone Number	:	718-434-7572
Fax Number	:	718-434-7703

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MRS. LYUDMILA MOTOVICH
Credential	:
Telephone Number	:	718-434-7520

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	01/31/2011

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