Queens Long Island Certified Home Health Agency Llc

Home Health

Agencies

3625 Parsons Blvd, Flushing, NY 11354-5938

PECOS Enrollment

Based 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 B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1518200757
Provider Type
Organization
Full Name
Queens Long Island Certified Home Health Agency Llc

Subpart
No
Enumeration Date
4/5/2013
Last Updated
1/28/2015

Contact Information

Practice Location

3625 Parsons Blvd, Flushing, NY 11354-5938

(718) 461-9115

Unlisted Fax

Mailing Location

3625 Parsons Blvd, Flushing, NY 11354-5938

(718) 461-9115

Unlisted Fax

Authorized Official

Benenson, Michael (Member)

(718) 461-9115

Provider Taxonomies

Code	Description	License
Code 251E00000X Primary	Description Home Health Agencies	License Unlisted Issuer

Queens Long Island Certified Home Health Agency Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

Code

Description

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