Healthcare Provider Details

I. General information

NPI: 1083108674
Provider Name (Legal Business Name): PATRICIA NGOZI OKOYE-OYIBO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOME CARE AT ITS BEST INC. 221-21 JAMAICA AVE
QUEENS VILLAGE NY
11428
US

IV. Provider business mailing address

597 RUTLAND RD
BROOKLYN NY
11203-1703
US

V. Phone/Fax

Practice location:
  • Phone: 718-468-6923
  • Fax: 718-468-6925
Mailing address:
  • Phone: 347-485-1675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number296948-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: