MEDICARE: EPRINE HOME CARE

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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1659820322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPRINE HOME CARE

Provider Business Mailing Address
First Line	:	1650 EASTERN PKWY STE 400-403
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4804
Country	:	US
Telephone Number	:	607-323-0771
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 EASTERN PKWY STE 400-403
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4804
Country	:	US
Telephone Number	:	607-323-0771
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS MOTA
Credential	:
Telephone Number	:	718-255-5946

Provider Enumeration Date	:	09/23/2016
Last Update Date	:	09/14/2023

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Directions to “EPRINE HOME CARE ” Practice Location

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