Healthcare Provider Details

I. General information

NPI: 1508706102
Provider Name (Legal Business Name): PRIORITY HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29126 APOLONIA DR
WARREN MI
48092-2248
US

IV. Provider business mailing address

8501 256TH ST
FLORAL PARK NY
11001-1025
US

V. Phone/Fax

Practice location:
  • Phone: 917-780-6988
  • Fax: 929-998-8392
Mailing address:
  • Phone: 917-780-6988
  • Fax: 929-998-8392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHOHELY A HAPPY
Title or Position: PRESIDENT
Credential:
Phone: 917-780-6988