Organization
ST. NICKS ALLIANCE HOME CARE CORP.
Active
Other names
St. Nicholas Human Support Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROCHFORD (EXECUTIVE DIRECTOR)
(718) 388-5522
Entity
Organization
Contact information
Practice address
2 KINGSLAND AVE FL 2, BROOKLYN, NY 11211-1695
(718) 388-5522
(718) 388-0476
Mailing address
2 KINGSLAND AVE FL 2, BROOKLYN, NY 11211-1695
(718) 388-5522
(718) 388-0476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0899L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0899L001
DEPARTMENT OF HEALTH - HOME CARE SERVICE AGENCY LICENCE
NY
Enumeration date
07/26/2011
Last updated
07/21/2022
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