# RISEBORO HOMECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgewood Bushwick Senior Citizen Homecare Council
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134264948
- **Authorized official:** SCOTT SHORT (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (718) 416-4501

## Contact information

- **Practice address:** 535 BUSHWICK AVENUE, BROOKLYN, NY 11206
- **Practice address phone:** (718) 821-0254
- **Practice address fax:** (718) 821-7986
- **Mailing address:** 535 BUSHWICK AVENUE, BROOKLYN, NY 11206
- **Mailing address phone:** (718) 821-0254
- **Mailing address fax:** (718) 821-7986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NY | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 05/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04545117 | — | NY |