MEDICARE: HOME FAMILY 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	1596L001	NY

General Provider Information

NPI Number	:	1801060363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME FAMILY CARE, INC

Provider Business Mailing Address
First Line	:	3051 BRIGHTON3RD STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7406
Country	:	US
Telephone Number	:	718-975-8998
Fax Number	:	718-975-8999

Provider Business Practice Location Address
First Line	:	3051 BRIGHTON3RD STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7406
Country	:	US
Telephone Number	:	718-975-8998
Fax Number	:	718-975-8999

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALEXANDER N KISELEV
Credential	:
Telephone Number	:	718-975-8998

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	02/23/2016

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