Healthcare Provider Details

I. General information

NPI: 1659820322
Provider Name (Legal Business Name): EPRINE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2016
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 EASTERN PKWY STE 400-403
BROOKLYN NY
11233-4804
US

IV. Provider business mailing address

1650 EASTERN PKWY STE 400-403
BROOKLYN NY
11233-4804
US

V. Phone/Fax

Practice location:
  • Phone: 607-323-0771
  • Fax:
Mailing address:
  • Phone: 607-323-0771
  • Fax:

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: LUIS MOTA
Title or Position: PRESIDENT
Credential:
Phone: 718-255-5946