=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366572414
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIMPLYTHEBEST HOME CARE LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2007
-----------------------------------------------------
Last Update Date | 05/20/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2372 STATE HIGHWAY 30A
-----------------------------------------------------
City | JOHNSTOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12095-3906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-762-1767
-----------------------------------------------------
Fax | 518-762-1768
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2372 STATE HIGHWAY 30A
-----------------------------------------------------
City | JOHNSTOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12095
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-762-1767
-----------------------------------------------------
Fax | 518-762-1768
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | MS. RACHAEL M LOBDELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 518-762-1767
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------