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NPI Code Detail

MEDICARE: JZANUS HOME CARE, INC.

MEDICARE: JZANUS 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
1251E00000XHome Health Agency9508L001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29508L001OTHERNYDOH LICENSE NUMBER

General Provider Information

NPI Number : 1871656371
Entity Type Code : Organization
Provider Name (Legal Business Name) : JZANUS HOME CARE, INC.
Provider Business Mailing Address
First Line : 170 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2024
Country : US
Telephone Number : 516-437-4747
Fax Number : 516-437-4902
Provider Business Practice Location Address
First Line : 170 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2024
Country : US
Telephone Number : 516-437-4747
Fax Number : 516-437-4902
Authorized Official
Title or Position : PRESIDENT
Name : MR. STEVEN STELLA
Credential :
Telephone Number : 516-437-4747
Provider Enumeration Date : 12/18/2006
Last Update Date : 08/22/2020

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