- Enrollment id
- O20060327000220
- Enrollment state
- NY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1770513145
- Multiple npi flag
- N
- Ccn
- 337290
- Associate id
- 0042228405
- Organization name
- AMERICARE CERTIFIED SPECIAL SERVICES, INC.
- Incorporation date
- 1992-01-02
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5923 STRICKLAND AVE
- City
- BROOKLYN
- State
- NY
- Zip code
- 112346435