Healthcare Provider Details

I. General information

NPI: 1972481174
Provider Name (Legal Business Name): EMPIRE LIFE LINK HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3187 EASTERN PKWY
BALDWIN NY
11510-4901
US

IV. Provider business mailing address

3187 EASTERN PKWY
BALDWIN NY
11510-4901
US

V. Phone/Fax

Practice location:
  • Phone: 646-444-1212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RASEL BHUYAN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 646-444-1212