Healthcare Provider Details

I. General information

NPI: 1134588692
Provider Name (Legal Business Name): CRANE HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 06/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MAIN ST
HAMBURG NY
14075-4948
US

IV. Provider business mailing address

40 MAIN ST
HAMBURG NY
14075-4948
US

V. Phone/Fax

Practice location:
  • Phone: 716-648-2273
  • Fax: 716-648-2276
Mailing address:
  • Phone: 716-648-2273
  • Fax: 716-648-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2271L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2271L001
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2271L001
License Number StateNY

VIII. Authorized Official

Name: MR. RICHARD G SCHNEIDER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 716-648-2273