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Organization

AMERISTAR HOME CARE SERVICES, LLC.

Active
Parent organization
AMERISTAR CDPAP
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERISTAR CDPAP
Authorized official
LIYA YUSUPOVA (ADMINISTRATIOR)
(718) 337-1100
Entity
Organization

Contact information

Practice address
224 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(718) 337-1100
(718) 337-1101
Mailing address
224 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(718) 337-1100
(718) 337-1101

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2129L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04393362
NY
Enumeration date
07/21/2017
Last updated
07/21/2022
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