MEDICARE: AMERICARE, 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	919OL001	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	919OL001	OTHER	NY	OPERATING LICENSE

General Provider Information

NPI Number	:	1992180558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICARE, INC.

Provider Business Mailing Address
First Line	:	171 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-1023
Country	:	US
Telephone Number	:	718-256-6000
Fax Number	:	718-256-5600

Provider Business Practice Location Address
First Line	:	2255 COLEMAN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5126
Country	:	US
Telephone Number	:	718-434-5100
Fax Number	:	718-256-1245

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. MARTIN KLEINMAN
Credential	:
Telephone Number	:	718-256-6000

Provider Enumeration Date	:	07/24/2015
Last Update Date	:	07/24/2015

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