Healthcare Provider Details

I. General information

NPI: 1790590529
Provider Name (Legal Business Name): FIVE P'S CASE MANAGEMENT & MULTI SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 LOCUST PARK APT 1
ALBANY NY
12205-4058
US

IV. Provider business mailing address

23 LOCUST PARK APT 1
ALBANY NY
12205-4058
US

V. Phone/Fax

Practice location:
  • Phone: 718-737-2450
  • Fax:
Mailing address:
  • Phone: 718-737-2450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. YUSEFF PARRIS
Title or Position: OWNER
Credential: CEO
Phone: 718-737-2450