OrganizationQueens Long Island Certified Home Health Agency LlcHome HealthAgenciesPractice Address3625 Parsons Blvd, Flushing, NY 11354-5938(718) 888-5294PECOS EnrollmentBased on the most recent information from CMS, provider Queens Long Island Certified Home Health Agency Llc 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 ID1255730602Provider TypeOrganizationFull NameQueens Long Island Certified Home Health Agency LlcSubpartNoEnumeration Date8/21/2014Last Updated8/21/2014Contact InformationPractice LocationPractice Address3625 Parsons Blvd, Flushing, NY 11354-5938Phone(718) 888-5294Fax(718) 461-9118Mailing LocationMailing Address3625 Parsons Blvd, Flushing, NY 11354-5938Phone(718) 888-5294Fax(718) 461-9118Authorized OfficialNameWang, Jia-Luo (Director)Phone(718) 888-5294Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense7003616New York