Provider Demographics
NPI:1447296553
Name:GIRLING HEALTH CARE OF NEW YORK, INC.
Entity type:Organization
Organization Name:GIRLING HEALTH CARE OF NEW YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEW
Authorized Official - Middle Name:N
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:512-634-4900
Mailing Address - Street 1:PO BOX 4294
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78765-4294
Mailing Address - Country:US
Mailing Address - Phone:512-634-4900
Mailing Address - Fax:512-634-4966
Practice Address - Street 1:118 BATTERY AVE BLDG A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6404
Practice Address - Country:US
Practice Address - Phone:718-748-7447
Practice Address - Fax:718-748-1287
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARDEN HOME HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-20
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001636251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01061090Medicaid
742115034OtherOTH. COMMERCIAL INSURANCE
NYHH9554OtherBLUE CROSS BLUE SHIELD
NYHH9554OtherBLUE CROSS BLUE SHIELD