=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427863885
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEWSUN HOMECARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2025
-----------------------------------------------------
Last Update Date | 02/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1311 NEWKIRK AVE APT 2C
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11230-1524
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-766-0521
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8421 169TH ST FL 2
-----------------------------------------------------
City | JAMAICA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11432-2033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-766-0521
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MOHAMMAD N HAIDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-766-0521
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------