MEDICARE: HOME CLEAN HOME, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171WH0202X	Home Modifications Contractor
2	253Z00000X	In Home Supportive Care Agency
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1215223169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CLEAN HOME, INC.

Provider Business Mailing Address
First Line	:	1323 E 15TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6050
Country	:	US
Telephone Number	:	718-627-5781
Fax Number	:	718-679-9656

Provider Business Practice Location Address
First Line	:	1323 E 15TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6050
Country	:	US
Telephone Number	:	718-627-5781
Fax Number	:	718-679-9656

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. NICOLE LEVINE
Credential	:
Telephone Number	:	718-627-5781

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	08/19/2025

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Directions to “HOME CLEAN HOME, INC. ” Practice Location

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