Provider Demographics
NPI:1679077143
Name:ALL-ISLAND HOME CARE SERVICES
Entity type:Organization
Organization Name:ALL-ISLAND HOME CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOAGYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-522-1911
Mailing Address - Street 1:60 E INDUSTRY CT STE 4
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-4714
Mailing Address - Country:US
Mailing Address - Phone:631-522-1911
Mailing Address - Fax:631-522-1213
Practice Address - Street 1:60 E INDUSTRY CT STE 4
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-4714
Practice Address - Country:US
Practice Address - Phone:631-522-1911
Practice Address - Fax:631-522-1213
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIBERTY HEALTHCARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21561L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health