Provider Demographics
NPI:1447510326
Name:GOOD CARE AGENCY INC
Entity type:Organization
Organization Name:GOOD CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKHOTNIKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-635-3535
Mailing Address - Street 1:2671 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5004
Mailing Address - Country:US
Mailing Address - Phone:718-635-3535
Mailing Address - Fax:718-648-2020
Practice Address - Street 1:2671 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5004
Practice Address - Country:US
Practice Address - Phone:718-635-3535
Practice Address - Fax:718-648-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1873L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health