OrganizationSr Home CareHome HealthAgenciesPractice Address3710 149th Pl, 1b, Flushing, NY 11354-4916(718) 321-2113PECOS EnrollmentBased on the most recent information from CMS, provider Sr Home Care 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 ID1144766973Provider TypeOrganizationFull NameSr Home CareSubpartNoEnumeration Date1/18/2017Last Updated1/18/2017Contact InformationPractice LocationPractice Address3710 149th Pl, 1b, Flushing, NY 11354-4916Phone(718) 321-2113Fax(718) 925-4105Mailing LocationMailing Address3710 149th Pl, 1b, Flushing, NY 11354-4916Phone(718) 321-2113Fax(718) 925-4105Authorized OfficialNameKoo, James (President)Phone(718) 321-2113Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense1907-L001New YorkCode251E00000XDescriptionHome HealthAgenciesLicenseUnlisted Issuer