Organization
ASSISTED HOME CARE, LLC
Active
Other names
Prime Assisted Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DOULOS (CEO)
(718) 646-1900
Entity
Organization
Contact information
Practice address
3125 EMMONS AVE, BROOKLYN, NY 11235-1724
(718) 646-1900
(718) 646-2254
Mailing address
3125 EMMONS AVE, BROOKLYN, NY 11235-1724
(718) 646-1900
(718) 646-2254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2160L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04474264
CDPAP MC FISCAL INTERMED
NY
01
—
2160L001
LICENSE
NY
Enumeration date
11/07/2016
Last updated
11/07/2016
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