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Organization
BEVERLY'S HOME HEALTH CARE INC
Active
Organization
BEVERLY'S HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY NICHOLS (DIRECTOR OFFICER)
(718) 459-5592
Entity
Organization
Contact information
Practice address
12510 QUEENS BLVD STE 5, KEW GARDENS, NY 11415-1522
(718) 459-5592
(718) 459-6047
Mailing address
12510 QUEENS BLVD STE 5, KEW GARDENS, NY 11415-1522
(718) 459-5592
(718) 459-6047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9569L001
NY
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01761260
—
NY
01
—
9569L001
HOME HEALTH CARE AGENCY
NY
Enumeration date
11/14/2006
Last updated
01/05/2022
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