# KRIS AGENCY & HOME CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093267718
- **Authorized official:** MAHADAI DEOKI (MANAGER)
- **Authorized official phone:** (718) 262-9009

## Contact information

- **Practice address:** 16914 HILLSIDE AVE, JAMAICA, NY 11432-4435
- **Practice address phone:** (718) 262-9009
- **Practice address fax:** (718) 262-8213
- **Mailing address:** 16914 HILLSIDE AVE, JAMAICA, NY 11432-4435
- **Mailing address phone:** (718) 262-9009
- **Mailing address fax:** (718) 262-8213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 9220L001 | NY | Yes |
| 310400000X | Assisted Living Facility | 9220L001 | NY | — |
| 310500000X | Mental Illness Intermediate Care Facility | 9220L001 | NY | — |
| 311Z00000X | Custodial Care Facility | 9220L001 | NY | — |
| 311ZA0620X | Adult Care Home Facility | 9220L001 | NY | — |
| 314000000X | Skilled Nursing Facility | 9220L001 | NY | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | 9220L001 | NY | — |
| 315D00000X | Inpatient Hospice | 9220L001 | NY | — |

## Other

- **Enumeration date:** 10/28/2016
- **Last updated:** 10/28/2016