Healthcare Provider Details

I. General information

NPI: 1508513516
Provider Name (Legal Business Name): CITI HEALTH HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3018 GLENWOOD RD FL 1
BROOKLYN NY
11210-2642
US

IV. Provider business mailing address

3018 GLENWOOD RD FL 1
BROOKLYN NY
11210-2642
US

V. Phone/Fax

Practice location:
  • Phone: 171-885-6680
  • Fax: 718-856-6878
Mailing address:
  • Phone: 171-885-6680
  • Fax: 718-856-6878

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: FANELL ALERTE
Title or Position: CEO
Credential:
Phone: 718-856-6800