Basic Information
Provider Information
NPI: 1003285008
EntityType: 2
ReplacementNPI:  
OrganizationName: CARING HANDS HOME CARE INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 91 SEASIDE AVE
Address2:  
City: PATCHOGUE
State: NY
PostalCode: 117728014
CountryCode: US
TelephoneNumber: 6314134161
FaxNumber:  
Practice Location
Address1: 263 BLUE POINT AVE
Address2:  
City: BLUE POINT
State: NY
PostalCode: 117151224
CountryCode: US
TelephoneNumber: 6314196737
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2015
LastUpdateDate: 09/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SHEDD
AuthorizedOfficialFirstName: PATRICIA
AuthorizedOfficialMiddleName: JO
AuthorizedOfficialTitleorPosition: LPN
AuthorizedOfficialTelephone: 6314134161
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251J00000X222634-1NYY AgenciesNursing Care 

No ID Information.


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