Organization
ELIM HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMEE SHIN (ADMINISTRATOR)
(718) 353-3225
Entity
Organization
Contact information
Practice address
163-15 NORTHERN BLVD.,, FLUSHING, NY 11358
(718) 353-3225
(718) 285-8236
Mailing address
163-15 NORTHERN BLVD.,, FLUSHING, NY 11358
(718) 353-3225
(718) 285-8236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2344L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05149091
—
NY
01
—
2344L001
DOH
NY
Enumeration date
08/28/2017
Last updated
06/27/2022
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