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NPI Code Detail

MEDICARE: ABC HOME CARE, INC.

MEDICARE: ABC 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 Agency1691L001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11691L001OTHERNYNY DOH

General Provider Information

NPI Number : 1659727832
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC HOME CARE, INC.
Provider Business Mailing Address
First Line : 86 W 183RD ST
Second Line :
City : BRONX
State : NY
Zip : 10453-1212
Country : US
Telephone Number : 718-333-0004
Fax Number :
Provider Business Practice Location Address
First Line : 86 W 183RD ST
Second Line :
City : BRONX
State : NY
Zip : 10453-1212
Country : US
Telephone Number : 718-333-0004
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MIROSLAVA KAUTSIS
Credential :
Telephone Number : 718-333-0004
Provider Enumeration Date : 05/06/2016
Last Update Date : 05/06/2016

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Directions to “ABC HOME CARE, INC. ” Practice Location

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