Provider Demographics
NPI:1063150514
Name:COSEY AT HOME - HOME CARE
Entity type:Organization
Organization Name:COSEY AT HOME - HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:COSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-651-8045
Mailing Address - Street 1:101 S WHITING ST APT 914
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3420
Mailing Address - Country:US
Mailing Address - Phone:917-686-0214
Mailing Address - Fax:
Practice Address - Street 1:101 S WHITING ST APT 914
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3420
Practice Address - Country:US
Practice Address - Phone:917-686-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health