MEDICARE: T.A.T. 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

General Provider Information

NPI Number	:	1720513039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T.A.T. HOME CARE LLC

Provider Business Mailing Address
First Line	:	1218 E 88TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4916
Country	:	US
Telephone Number	:	718-649-6258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1218 E 88TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4916
Country	:	US
Telephone Number	:	718-649-6258
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NANCY LEBRUN-DUCHATELIE
Credential	:
Telephone Number	:	718-649-6258

Provider Enumeration Date	:	04/24/2017
Last Update Date	:	04/24/2017

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