Basic Information
| Provider Information | |||||||||
| NPI: | 1366998684 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EKE | ||||||||
| FirstName: | INNOCENTIA | ||||||||
| MiddleName: | NKEIRUKA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 80-25 PARSONS BLVD APT C29 | ||||||||
| Address2: | |||||||||
| City: | JAMAICA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114321058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9174748307 | ||||||||
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| Practice Location | |||||||||
| Address1: | CARING HANDS HOME CARE INC. | ||||||||
| Address2: | 263 BLUE POINT AVENUE | ||||||||
| City: | BLUE POINT | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314196737 | ||||||||
| FaxNumber: | 6318683498 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2016 | ||||||||
| LastUpdateDate: | 08/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 256593-1 | NY | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.