Green Pastures Home Aide LLC
Home Health in Amagansett, NY. Organization (NPI-2).
NPI number1093530693
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1093530693
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Pastures Home Aide LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2024
- Certification date
- Nov 15, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 315D00000X | Hospice, Inpatient | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
75 Gansett LnAmagansett, NY 11930
Phone 929-525-9594
Mailing address
16909 107th Ave # 2Jamaica, NY 11433-2420
Phone 929-525-9594
Authorized official
Dearmo Ramsay
Ceo
9295259594
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