Healthcare Provider Details

I. General information

NPI: 1083367528
Provider Name (Legal Business Name): AFFECTION HOME HEALTH CARE NY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 GLEASON AVE FL 2
BRONX NY
10472-5129
US

IV. Provider business mailing address

1935 GLEASON AVE FL 2
BRONX NY
10472-5129
US

V. Phone/Fax

Practice location:
  • Phone: 571-306-9833
  • Fax: 571-730-4853
Mailing address:
  • Phone: 571-306-9833
  • Fax: 571-730-4853

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: MOHOSINA JANNAT RIMI
Title or Position: CEO
Credential:
Phone: 571-306-9833