Healthcare Provider Details

I. General information

NPI: 1437548021
Provider Name (Legal Business Name): PROFESSIONAL CARING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2015
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 VERNON AVE
MOUNT VERNON NY
10553-1811
US

IV. Provider business mailing address

107 GRANT AVENUE
PEEKSKILL NY
10566
US

V. Phone/Fax

Practice location:
  • Phone: 914-699-5407
  • Fax:
Mailing address:
  • Phone: 914-699-5407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. BROWN MADUBUKO OGWUMA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MSW, LCSW
Phone: 914-831-9694