Organization
CARING SHEPHERD HHC AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ELIASSAINT (PRESIDENT)
(516) 430-0149
Entity
Organization
Contact information
Practice address
66 NORFOLK DR W, ELMONT, NY 11003-4814
(866) 446-5858
(718) 233-3412
Mailing address
66 NORFOLK DR W, ELMONT, NY 11003-4814
(866) 446-5858
(718) 223-3412
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04563306
PROVIDER IDENTIFICATION
NY
Enumeration date
12/02/2016
Last updated
08/10/2017
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