Healthcare Provider Details

I. General information

NPI: 1134369390
Provider Name (Legal Business Name): AAA HOME HEALTH CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 03/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 LEE AVE STE 382
BROOKLYN NY
11211-8036
US

IV. Provider business mailing address

199 LEE AVE STE 382
BROOKLYN NY
11211-8036
US

V. Phone/Fax

Practice location:
  • Phone: 718-360-1522
  • Fax:
Mailing address:
  • Phone: 718-360-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1308952
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MORDECHAI STEIN
Title or Position: CEO
Credential:
Phone: 718-360-1522