MEDICARE: HAND IN HAND HOMECARE, 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	1801L001	NY

General Provider Information

NPI Number	:	1831546530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND IN HAND HOMECARE, LLC

Provider Business Mailing Address
First Line	:	4200 WHITE PLAINS RD STE 101
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-3014
Country	:	US
Telephone Number	:	718-829-8000
Fax Number	:	718-829-8001

Provider Business Practice Location Address
First Line	:	4200 WHITE PLAINS RD STE 101
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-3014
Country	:	US
Telephone Number	:	718-829-8000
Fax Number	:	718-829-8001

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUSAN KHEMROJ
Credential	:	RN, BSN
Telephone Number	:	914-262-1445

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	05/23/2016

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