MEDICARE: PARK HOME CARE 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

General Provider Information

NPI Number	:	1265844856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK HOME CARE INC.

Provider Business Mailing Address
First Line	:	1274 49TH ST
Second Line	:	SUITE 220
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3011
Country	:	US
Telephone Number	:	347-792-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1274 49TH ST
Second Line	:	SUITE 220
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3011
Country	:	US
Telephone Number	:	347-792-3505
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TZIPORA TAUSSIG
Credential	:
Telephone Number	:	347-792-3505

Provider Enumeration Date	:	05/30/2014
Last Update Date	:	05/30/2014

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Directions to “PARK HOME CARE INC. ” Practice Location

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