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NPI Code Detail

MEDICARE: HOME CARE AT ITS BEST

MEDICARE: HOME CARE AT ITS BEST
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
1251E00000XHome Health AgencyC693L001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871635987
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE AT ITS BEST
Provider Business Mailing Address
First Line : 22121 JAMAICA AVE
Second Line : 2ND FL
City : QUEENS VILLAGE
State : NY
Zip : 11428-2015
Country : US
Telephone Number : 718-468-6923
Fax Number : 718-468-6925
Provider Business Practice Location Address
First Line : 22121 JAMAICA AVE
Second Line : 2ND FL
City : QUEENS VILLAGE
State : NY
Zip : 11428-2015
Country : US
Telephone Number : 718-468-6923
Fax Number : 718-468-6925
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : KETTLY DERIVAL
Credential :
Telephone Number : 516-204-5518
Provider Enumeration Date : 02/13/2007
Last Update Date : 11/04/2015

Similar Medicare Providers

1497608574 — MEI YUAN
Practice Location Address:
22121 JAMAICA AVE
QUEENS VILLAGE, NY
11428-2015
Practice Phone: 718-468-6923
Practice Fax:
1518984558 — G.L DENTAL PRACTICE
Practice Location Address:
22117 JAMAICA AVE
QUEENS VILLAGE, NY
11428-2015
Practice Phone: 718-454-4000
Practice Fax: 718-479-9171
1245562420 — HOME CARE AT ITS BEST INC
Practice Location Address:
22121 JAMAICA AVE
QUEENS VILLAGE, NY
11428-2015
Practice Phone: 718-468-6923
Practice Fax:
1417279225 — ALPHANA PRINSTON
Practice Location Address:
22121 JAMAICA AVE
QUEENS VILLAGE, NY
11428-2015
Practice Phone: 718-468-6923
Practice Fax:
1962724773 — MARIE JULIEN
Practice Location Address:
22121 JAMAICA AVE
QUEENS VILLAGE, NY
11428-2015
Practice Phone: 718-468-6923
Practice Fax:
1588986392 — MACULA AUGUSTIN
Practice Location Address:
22121 JAMAICA AVE
QUEENS VILLAGE, NY
11428-2015
Practice Phone: 718-468-6923
Practice Fax: 718-468-6925

Directions to “HOME CARE AT ITS BEST ” Practice Location

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