Healthcare Provider Details

I. General information

NPI: 1215872866
Provider Name (Legal Business Name): CARING AT HOME MA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 CENTRAL AVE STE 2
CEDARHURST NY
11516-1907
US

IV. Provider business mailing address

414 CENTRAL AVE STE 2
CEDARHURST NY
11516-1907
US

V. Phone/Fax

Practice location:
  • Phone: 718-954-6160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MARK REISMAN
Title or Position: OWNER
Credential: OWNER
Phone: 718-954-6160