OrganizationWhite GloveRegistered NurseNursing Service ProvidersPractice Address8902 218th St, Queens Village, NY 11427-2416(347) 256-0567PECOS EnrollmentBased on the most recent information from CMS, provider White Glove does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124506597Provider TypeOrganizationFull NameWhite GloveSubpartNoEnumeration Date7/29/2018Last Updated7/29/2018Contact InformationPractice LocationPractice Address8902 218th St, Queens Village, NY 11427-2416Phone(347) 256-0567FaxUnlisted FaxMailing LocationMailing Address89 Bartlett St, Brooklyn, NY 11206-4463PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameCajal, Ailen (Rn)Phone(347) 256-0567Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense742806-1New York