Healthcare Provider Details

I. General information

NPI: 1043661655
Provider Name (Legal Business Name): YOUR DIRECT HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 06/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E 5TH ST UNIT 1 - SUITE 152
BROOKLYN NY
11218-2403
US

IV. Provider business mailing address

251 E 5TH ST UNIT 1 - SUITE 152
BROOKLYN NY
11218-2403
US

V. Phone/Fax

Practice location:
  • Phone: 718-338-6300
  • Fax:
Mailing address:
  • Phone: 718-338-6300
  • Fax:

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: ARNOLD RABINOVICH
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 718-338-6300