Provider Demographics
NPI:1174715734
Name:DUNKEZ PRIVATE HOME CARE, INC.
Entity type:Organization
Organization Name:DUNKEZ PRIVATE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/MARKETING
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVADNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNKEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:914-843-3895
Mailing Address - Street 1:8 LORRAINE AVENUE
Mailing Address - Street 2:
Mailing Address - City:MT. VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550
Mailing Address - Country:US
Mailing Address - Phone:914-843-3895
Mailing Address - Fax:914-668-9224
Practice Address - Street 1:8 LORRAINE AVENUE
Practice Address - Street 2:
Practice Address - City:MT. VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550
Practice Address - Country:US
Practice Address - Phone:914-843-3895
Practice Address - Fax:914-668-9224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NY1253L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1253L001OtherHOMECAREAGENCY