Healthcare Provider Details

I. General information

NPI: 1003484148
Provider Name (Legal Business Name): AMERITECH HOMECARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOLLAND AVE STE 102
FLORAL PARK NY
11001-1543
US

IV. Provider business mailing address

50 BROADWAY STE 205
HAWTHORNE NY
10532-1245
US

V. Phone/Fax

Practice location:
  • Phone: 718-425-4070
  • Fax: 516-775-0706
Mailing address:
  • Phone: 347-443-3787
  • Fax: 516-775-0706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JINOY JOSEPH
Title or Position: MEMBER
Credential:
Phone: 914-514-7192