Healthcare Provider Details

I. General information

NPI: 1831017334
Provider Name (Legal Business Name): EXCLUSIVE HOME CARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 KINGS HWY STE 2
BROOKLYN NY
11229-1979
US

IV. Provider business mailing address

1311 KINGS HWY STE 2
BROOKLYN NY
11229-1979
US

V. Phone/Fax

Practice location:
  • Phone: 917-419-7234
  • Fax:
Mailing address:
  • Phone: 917-419-7234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TATYANA PASTINA
Title or Position: DIRECTOR
Credential: NP
Phone: 917-419-7234