Healthcare Provider Details

I. General information

NPI: 1699907956
Provider Name (Legal Business Name): DAHLIAS HOME CARE AGENCY, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2009
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 3RD AVE STE 301
BRONX NY
10455-4068
US

IV. Provider business mailing address

2825 3RD AVE STE 301
BRONX NY
10455-4068
US

V. Phone/Fax

Practice location:
  • Phone: 844-634-6500
  • Fax: 844-874-5724
Mailing address:
  • Phone: 844-634-6500
  • Fax: 844-874-5724

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAHLIA PURVEY
Title or Position: PRESIDENT/ OWNER
Credential: CRMA
Phone: 516-884-6226