Organization
ENS HEALTH CARE MANAGEMENT LLC
Active
Other names
Interim HealthCare of the Capital Region
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE C SMITH RN (CO-PRESIDENT)
(518) 452-3655
Entity
Organization
Contact information
Practice address
1735 CENTRAL AVE, ALBANY, NY 12205-4758
(518) 452-3655
(518) 452-0765
Mailing address
1735 CENTRAL AVE, ALBANY, NY 12205-4758
(518) 452-3655
(518) 452-0765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1063L001
NY
251E00000X
Home Health Agency
1063L002
NY
251E00000X
Home Health Agency
1063L003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150443
—
NY
05
—
02200360
—
NY
01
—
02861741
TBI PROGRAM
NY
01
—
1063L001
LHCSA LICENSE NUMBER
NY
01
—
1063L002
GLENS FALLS LICENSE #
NY
01
—
1063L003
SARATOGA LICENSE #
NY
Enumeration date
04/28/2006
Last updated
10/08/2007
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