MEDICARE: CARING LHCSA LLC

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	1831L001	NY

General Provider Information

NPI Number	:	1770973059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING LHCSA LLC

Provider Business Mailing Address
First Line	:	105-05 CROSS BAY BLVD
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-1514
Country	:	US
Telephone Number	:	718-925-2181
Fax Number	:	718-907-2991

Provider Business Practice Location Address
First Line	:	10505 CROSS BAY BLVD
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-1514
Country	:	US
Telephone Number	:	718-925-2181
Fax Number	:	718-907-2991

Authorized Official
Title or Position	:	COO
Name	:	MR. JOEL KLEIN
Credential	:
Telephone Number	:	718-925-2181

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	01/26/2015

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Directions to “CARING LHCSA LLC ” Practice Location

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