MEDICARE: SELFHELP COMMUNITY SERVICES HOME ATTENDANT CORPORATION

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	0868L001	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831264001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELFHELP COMMUNITY SERVICES HOME ATTENDANT CORPORATION

Provider Business Mailing Address
First Line	:	520 8TH AVE.
Second Line	:	5 TH FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10018-6553
Country	:	US
Telephone Number	:	212-971-7600
Fax Number	:	212-629-9482

Provider Business Practice Location Address
First Line	:	520 8TH AVE.
Second Line	:	5 TH FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10018-6553
Country	:	US
Telephone Number	:	212-971-7600
Fax Number	:	212-629-9482

Authorized Official
Title or Position	:	ASST. VP, OPERATIONS
Name	:	MS. TAMI SEIDLER
Credential	:	RN
Telephone Number	:	212-971-7664

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	08/22/2020

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Directions to “SELFHELP COMMUNITY SERVICES HOME ATTENDANT CORPORATION ” Practice Location

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