MEDICARE: GIRLING HEALTH CARE OF NEW YORK, 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	7001636	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	742115034	OTHER		OTH. COMMERCIAL INSURANCE
3	HH9554	OTHER	NY	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1447296553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIRLING HEALTH CARE OF NEW YORK, INC.

Provider Business Mailing Address
First Line	:	PO BOX 4294
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78765-4294
Country	:	US
Telephone Number	:	512-634-4900
Fax Number	:	512-634-4966

Provider Business Practice Location Address
First Line	:	118 BATTERY AVE BLDG A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6404
Country	:	US
Telephone Number	:	718-748-7447
Fax Number	:	718-748-1287

Authorized Official
Title or Position	:	CEO
Name	:	MR. LEW N LITTLE JR.
Credential	:
Telephone Number	:	512-634-4900

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	02/14/2012

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