Healthcare Provider Details

I. General information

NPI: 1730752510
Provider Name (Legal Business Name): HS HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 COACHMAN PL W
SYOSSET NY
11791-3052
US

IV. Provider business mailing address

80 COACHMAN PL W
SYOSSET NY
11791-3052
US

V. Phone/Fax

Practice location:
  • Phone: 516-808-9320
  • Fax:
Mailing address:
  • Phone: 516-808-9320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. MAYUR PAREKH
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 516-236-6703