Provider Demographics
NPI:1053730457
Name:KINGSBRIDGE HOME HEALTH SERVICES
Entity type:Organization
Organization Name:KINGSBRIDGE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARCHMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-753-4545
Mailing Address - Street 1:187 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2834
Mailing Address - Country:US
Mailing Address - Phone:917-753-4545
Mailing Address - Fax:
Practice Address - Street 1:187 E 96TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2834
Practice Address - Country:US
Practice Address - Phone:917-753-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health