MEDICARE: AFFECTION HOME HEALTH CARE NY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1083367528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFECTION HOME HEALTH CARE NY LLC

Provider Business Mailing Address
First Line	:	1935 GLEASON AVE FL 2
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-5129
Country	:	US
Telephone Number	:	571-306-9833
Fax Number	:	571-730-4853

Provider Business Practice Location Address
First Line	:	1935 GLEASON AVE FL 2
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-5129
Country	:	US
Telephone Number	:	571-306-9833
Fax Number	:	571-730-4853

Authorized Official
Title or Position	:	CEO
Name	:	MOHOSINA JANNAT RIMI
Credential	:
Telephone Number	:	571-306-9833

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	02/03/2022

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