Organization
PIONEER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELVALYN M ALLEN (LPN)
(347) 885-2533
Entity
Organization
Contact information
Practice address
100 EINSTEIN LOOP, APT5E, BRONX, NY 10475
(347) 885-2533
Mailing address
100 EINSTEIN LOOP, ALT 5E, BRONX, NY 10475-4947
(347) 885-2533
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
290866-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6850
MEDICAID
NY
05
—
6850
—
NY
05
—
730030976
—
NY
Enumeration date
01/29/2015
Last updated
01/29/2015
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