Provider Demographics
NPI:1154496545
Name:CABS HOME ATTENDANTS SERVICES INC
Entity type:Organization
Organization Name:CABS HOME ATTENDANTS SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:PERNISEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-388-0220
Mailing Address - Street 1:545 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-2962
Mailing Address - Country:US
Mailing Address - Phone:718-388-0220
Mailing Address - Fax:718-388-1428
Practice Address - Street 1:545 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2962
Practice Address - Country:US
Practice Address - Phone:718-388-0220
Practice Address - Fax:718-388-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9509L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0092533303Medicare ID - Type UnspecifiedPROVIDER ID