Organization
X-TREME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEI PIAO (ADMINISTRATOR)
(718) 461-9602
Entity
Organization
Contact information
Practice address
212-12 NORTHER BLVD, 3RD FLOOR, BAY SIDE, NY 11361
(718) 461-9602
(718) 461-9515
Mailing address
212-12 NORTHER BLVD, 3RD FLOOR, BAY SIDE, NY 11361
(718) 461-9602
(718) 461-9515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0950L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04194730
—
NY
Enumeration date
03/07/2008
Last updated
07/15/2021
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