MEDICARE: PARAMOUNT HOME CARE AGENCY

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	1952L001	NY

General Provider Information

NPI Number	:	1720471626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAMOUNT HOME CARE AGENCY

Provider Business Mailing Address
First Line	:	1711 KINGS HWY STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1232
Country	:	US
Telephone Number	:	917-301-9279
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 KINGS HWY STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1232
Country	:	US
Telephone Number	:	917-301-9279
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ROMAN OFFENGEYM
Credential	:
Telephone Number	:	929-333-9685

Provider Enumeration Date	:	03/17/2015
Last Update Date	:	03/17/2015

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Directions to “PARAMOUNT HOME CARE AGENCY ” Practice Location

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