Provider Demographics
NPI:1881354751
Name:ALBACARE HHC, INC.
Entity type:Organization
Organization Name:ALBACARE HHC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GOVERNING AUTHORITY
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VINBAYTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-612-7439
Mailing Address - Street 1:1909 E 17TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3407
Mailing Address - Country:US
Mailing Address - Phone:347-462-4178
Mailing Address - Fax:718-228-6633
Practice Address - Street 1:1909 E 17TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3407
Practice Address - Country:US
Practice Address - Phone:347-462-4178
Practice Address - Fax:718-228-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2336L001OtherNYS DOH LICENSE