MEDICARE: AMERICAN BIO MED 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
1	251E00000X	Home Health Agency	9111L001	NY

General Provider Information

NPI Number	:	1790014587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN BIO MED HOME CARE, INC

Provider Business Mailing Address
First Line	:	2 ARLINGTON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2001
Country	:	US
Telephone Number	:	718-235-0100
Fax Number	:	718-235-8915

Provider Business Practice Location Address
First Line	:	2 ARLINGTON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2001
Country	:	US
Telephone Number	:	718-235-0100
Fax Number	:	718-235-8915

Authorized Official
Title or Position	:	DPS
Name	:	MRS. LAURA PARRAY
Credential	:	RN
Telephone Number	:	718-235-0100

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	12/08/2009

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