Organization
KRIS AGENCY & HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHADAI DEOKI (MANAGER)
(718) 262-9009
Entity
Organization
Contact information
Practice address
16914 HILLSIDE AVE, JAMAICA, NY 11432-4435
(718) 262-9009
(718) 262-8213
Mailing address
16914 HILLSIDE AVE, JAMAICA, NY 11432-4435
(718) 262-9009
(718) 262-8213
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
9220L001
NY
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287916
—
NY
Enumeration date
10/28/2016
Last updated
10/28/2016
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