Healthcare Provider Details

I. General information

NPI: 1073051074
Provider Name (Legal Business Name): HI-TECH HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 02/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8751 167TH ST 2ND FLOOR
JAMAICA NY
11432-3635
US

IV. Provider business mailing address

8751 167TH ST 2ND FLOOR
JAMAICA NY
11432-3635
US

V. Phone/Fax

Practice location:
  • Phone: 718-505-8500
  • Fax: 347-694-8854
Mailing address:
  • Phone: 718-505-8500
  • Fax: 347-694-8854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAHFUZEL HAQUE
Title or Position: OWNER
Credential:
Phone: 718-505-8500