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Organization
JOS-EL CARE AGENCY, INC
Active
Organization
JOS-EL CARE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH N GONSALVES RN (ADMINISTRATOR)
(516) 823-0739
Entity
Organization
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
(516) 823-1550
Mailing address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
(516) 823-1550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
9609L001
NY
251E00000X
Home Health Agency
Primary
9609L002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727077
—
NY
01
—
9609L001
LHCSA - LICENSE #
NY
01
—
9609L002
LHCSA - LICENSE #
NY
Enumeration date
02/06/2007
Last updated
08/22/2020
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