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NPI Code Detail

MEDICARE: CONCEPT HOME CARE, INC.

MEDICARE: CONCEPT 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
1251E00000XHome Health Agency1340L001NY

General Provider Information

NPI Number : 1275712994
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCEPT HOME CARE, INC.
Provider Business Mailing Address
First Line : 740 E 233RD ST
Second Line : 2ND FLOOR
City : BRONX
State : NY
Zip : 10466-3202
Country : US
Telephone Number : 718-409-6500
Fax Number :
Provider Business Practice Location Address
First Line : 740 E 233RD ST
Second Line : 2ND FLOOR
City : BRONX
State : NY
Zip : 10466-3202
Country : US
Telephone Number : 718-409-6500
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. MARIA J ETIM
Credential :
Telephone Number : 718-708-7500
Provider Enumeration Date : 10/30/2007
Last Update Date : 10/24/2013

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