Organization
ADVANCE HOME CARE
Active
Other names
Sincere Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA KHAVIN (ADMINISTRATOR)
(718) 934-0004
Entity
Organization
Contact information
Practice address
2546 E 17TH ST STE 2, BROOKLYN, NY 11235-3561
(718) 864-0977
Mailing address
2546 E 17TH ST STE 2, BROOKLYN, NY 11235-3561
(718) 864-0977
(718) 934-0009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1445L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04174937
—
NY
Enumeration date
12/30/2015
Last updated
07/21/2021
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