Provider Demographics
NPI:1265595151
Name:FAMILY AIDES, INC.
Entity type:Organization
Organization Name:FAMILY AIDES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-681-2300
Mailing Address - Street 1:120 W JOHN ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-1020
Mailing Address - Country:US
Mailing Address - Phone:516-681-2300
Mailing Address - Fax:516-932-8017
Practice Address - Street 1:120 W JOHN ST
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1020
Practice Address - Country:US
Practice Address - Phone:516-681-2300
Practice Address - Fax:516-932-8017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0049L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00660586Medicaid
NY00911642Medicaid
NY00354710Medicaid
NY00843343Medicaid