Provider Demographics
NPI:1487085148
Name:MASON & BUGAYEVA HOME CARE SERVICES INC.
Entity type:Organization
Organization Name:MASON & BUGAYEVA HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-490-6522
Mailing Address - Street 1:4141 51ST ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4431
Mailing Address - Country:US
Mailing Address - Phone:718-490-6522
Mailing Address - Fax:347-527-1406
Practice Address - Street 1:4141 51ST ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4431
Practice Address - Country:US
Practice Address - Phone:718-490-6522
Practice Address - Fax:347-527-1406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health