Healthcare Provider Details

I. General information

NPI: 1982840260
Provider Name (Legal Business Name): CARING CARE OF NEW YORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 AVENUE U
BROOKLYN NY
11229-5010
US

IV. Provider business mailing address

2604 AVENUE U
BROOKLYN NY
11229-5010
US

V. Phone/Fax

Practice location:
  • Phone: 718-442-0111
  • Fax: 718-332-8400
Mailing address:
  • Phone: 718-442-0111
  • Fax: 718-332-8400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0582L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0582L001
License Number StateNY

VIII. Authorized Official

Name: AARON BETHEA
Title or Position: PRESIDENT
Credential:
Phone: 718-442-0111