Healthcare Provider Details

I. General information

NPI: 1073938080
Provider Name (Legal Business Name): PROPER CARE L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2014
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12021 MARSDEN ST 2
JAMAICA NY
11434-2609
US

IV. Provider business mailing address

8840 164TH ST UNIT 311216
JAMAICA NY
11431-5101
US

V. Phone/Fax

Practice location:
  • Phone: 718-810-2284
  • Fax: 718-528-2099
Mailing address:
  • Phone: 718-810-2284
  • Fax: 718-528-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: VIOLA NELSON
Title or Position: CEO
Credential:
Phone: 929-268-6715