- Enrollment id
- O20140711001528
- Enrollment state
- NY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568886653
- Multiple npi flag
- N
- Ccn
- 337243
- Associate id
- 3173748985
- Organization name
- HCS CERTIFIED HOME CARE NY INC.
- Doing business as name
- GIRLING HEALTH CARE OF NEW YORK
- Incorporation date
- 2012-07-06
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2003 CONEY ISLAND AVE
- City
- BROOKLYN
- State
- NY
- Zip code
- 112232328