Healthcare Provider Details

I. General information

NPI: 1821482852
Provider Name (Legal Business Name): HIGHLAND VIEW CARE CENTER OPERATING CO., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CANNON PL
BRONX NY
10463-4302
US

IV. Provider business mailing address

3400 CANNON PL
BRONX NY
10463-4302
US

V. Phone/Fax

Practice location:
  • Phone: 718-796-8165
  • 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 StateNY

VIII. Authorized Official

Name: LEO FRIEDMAN
Title or Position: MANAGER
Credential:
Phone: 718-796-8165