MEDICARE: BRONX HOME CARE SERVICES, 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	9299L001	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

General Provider Information

NPI Number	:	1780891549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONX HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3712 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-5710
Country	:	US
Telephone Number	:	718-231-6292
Fax Number	:	718-231-0284

Provider Business Practice Location Address
First Line	:	3712 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-5710
Country	:	US
Telephone Number	:	718-231-6292
Fax Number	:	718-231-0284

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MICHAEL ANORUE
Credential	:
Telephone Number	:	718-231-6292

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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