Healthcare Provider Details

I. General information

NPI: 1902472343
Provider Name (Legal Business Name): 8 PESACH HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 05/27/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 WILMOT RD
MAMARONECK NY
10804
US

IV. Provider business mailing address

1214 WEST BOSTON POST ROAD
MAMARONECK NY
10543
US

V. Phone/Fax

Practice location:
  • Phone: 914-426-2285
  • Fax:
Mailing address:
  • Phone: 914-426-2285
  • Fax:

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: GILDA ANDERSON
Title or Position: PRESIDENT
Credential:
Phone: 914-426-2285