Provider Demographics
NPI:1174979306
Name:CIAMBELLA HOME CARE, INC.
Entity type:Organization
Organization Name:CIAMBELLA HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CIAMBELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-634-2273
Mailing Address - Street 1:6245 SHERIDAN DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4834
Mailing Address - Country:US
Mailing Address - Phone:716-634-2273
Mailing Address - Fax:
Practice Address - Street 1:6245 SHERIDAN DR
Practice Address - Street 2:SUITE 114
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-4834
Practice Address - Country:US
Practice Address - Phone:716-634-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIAMBELLA HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2395L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health