Provider Demographics
NPI:1124254081
Name:TOTAL CARE SERVICES
Entity type:Organization
Organization Name:TOTAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PROFESSIONAL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUGUSTA
Authorized Official - Middle Name:MOPELOLA
Authorized Official - Last Name:OSINOWO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-513-3458
Mailing Address - Street 1:17 PAEDEGAT 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4105
Mailing Address - Country:US
Mailing Address - Phone:718-513-3458
Mailing Address - Fax:718-513-3458
Practice Address - Street 1:17 PAERDEGAT 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4105
Practice Address - Country:US
Practice Address - Phone:718-513-3458
Practice Address - Fax:718-513-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY490545163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty