Healthcare Provider Details

I. General information

NPI: 1255593687
Provider Name (Legal Business Name): CONTINUITY HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W 11TH ST GROUND FLOOR
NEW YORK NY
10011-8305
US

IV. Provider business mailing address

121 W 11TH ST GROUND FLOOR
NEW YORK NY
10011-8305
US

V. Phone/Fax

Practice location:
  • Phone: 212-219-2677
  • Fax:
Mailing address:
  • Phone: 212-219-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9364L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number9364L001
License Number StateNY

VIII. Authorized Official

Name: MR. TIMOTHY P. FERGUSON
Title or Position: PRESIDENT
Credential: MS
Phone: 212-219-2677