Provider Demographics
NPI:1154727352
Name:TAYLORED CARE INCORPORATED
Entity type:Organization
Organization Name:TAYLORED CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN-TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-720-3452
Mailing Address - Street 1:1100 WARBURTON AVE APT 4P
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1009
Mailing Address - Country:US
Mailing Address - Phone:914-720-3452
Mailing Address - Fax:914-207-6622
Practice Address - Street 1:1100 WARBURTON AVE APT 4P
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1009
Practice Address - Country:US
Practice Address - Phone:914-720-3452
Practice Address - Fax:914-207-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-15
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty