MEDICARE: RITE CHOICE HOME CAREAGENCY, INC

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	1589L001	NY

General Provider Information

NPI Number	:	1124319686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE CHOICE HOME CAREAGENCY, INC

Provider Business Mailing Address
First Line	:	11655 QUEENS BLVD STE 214
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6527
Country	:	US
Telephone Number	:	718-261-2700
Fax Number	:	718-261-2735

Provider Business Practice Location Address
First Line	:	11655 QUEENS BLVD STE 214
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6527
Country	:	US
Telephone Number	:	718-261-2700
Fax Number	:	718-261-2735

Authorized Official
Title or Position	:	CFO
Name	:	MR. OLEG PINKHASOV
Credential	:
Telephone Number	:	718-261-2700

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	05/02/2011

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