Look up the most recent NPI and PECOS records

Altruism Extending Care Corp

Licensed Practical Nurse

Nursing Service Providers

76 Jefferson Ave, Amityville, NY 11701-2300

PECOS Enrollment

Based on the most recent information from CMS, provider Altruism Extending Care Corp 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 yesterday at 9:43 AM.

Profile Details

Provider ID
1699123307
Provider Type
Organization
Full Name
Altruism Extending Care Corp

Subpart
No
Enumeration Date
6/3/2016
Last Updated
6/3/2016

Contact Information

Practice Location

76 Jefferson Ave, Amityville, NY 11701-2300

(631) 764-8487

Unlisted Fax

Mailing Location

76 Jefferson Ave, Amityville, NY 11701-2300

(631) 764-8487

Unlisted Fax

Authorized Official

Mitchell, Denise (President/Owner)

(631) 764-8487

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License Unlisted Issuer
Code 372600000X	Description Adult Companion Nursing Service Related Providers	License Unlisted Issuer
Code 376J00000X	Description Homemaker Nursing Service Related Providers	License Unlisted Issuer
Code 376K00000X	Description Nurse's Aide Nursing Service Related Providers	License Unlisted Issuer
Code 374700000X	Description Technician Nursing Service Related Providers	License Unlisted Issuer
Code 3747A0650X	Description Technician Nursing Service Related Providers	License Unlisted Issuer
Code 3747P1801X	Description Technician Nursing Service Related Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer
Code 171W00000X	Description Contractor Other Service Providers	License Unlisted Issuer
Code 174H00000X	Description Health Educator Other Service Providers	License Unlisted Issuer
Code 171R00000X	Description Interpreter Other Service Providers	License Unlisted Issuer
Code 174400000X	Description Specialist Other Service Providers	License Unlisted Issuer
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License Unlisted Issuer

Altruism Extending Care Corp

PECOS Enrollment

Profile Details

Contact Information

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Mailing Location

Authorized Official

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