Organization
GOOD HOME HEALTH AIDE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMITA SPENCER LIC. HHA (MANAGER/OWNER)
(917) 861-7971
Entity
Organization
Contact information
Practice address
3110 WEBSTER AVE, BRONX, NY 10467-4902
(917) 861-7971
(347) 449-7241
Mailing address
3110 WEBSTER AVE, BRONX, NY 10467-4902
(917) 861-7971
(347) 449-7241
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00446329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699160614
MEDICARE
NY
Enumeration date
09/15/2015
Last updated
09/15/2015
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