MEDICARE: ALL CARE CDPAP 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	1555L001	NY

General Provider Information

NPI Number	:	1831633031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE CDPAP LLC

Provider Business Mailing Address
First Line	:	6812 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-6345
Country	:	US
Telephone Number	:	718-234-2273
Fax Number	:	718-234-2276

Provider Business Practice Location Address
First Line	:	6812 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-6345
Country	:	US
Telephone Number	:	718-234-2273
Fax Number	:	718-234-2276

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BENJAMIN NEUMAN
Credential	:
Telephone Number	:	718-234-2273

Provider Enumeration Date	:	12/07/2016
Last Update Date	:	12/07/2016

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