Provider Demographics
NPI:1194349134
Name:SEQUOIA HOME CARE INC.
Entity type:Organization
Organization Name:SEQUOIA HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:CANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-297-0355
Mailing Address - Street 1:115 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3908
Mailing Address - Country:US
Mailing Address - Phone:516-750-0035
Mailing Address - Fax:516-750-0036
Practice Address - Street 1:115 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3908
Practice Address - Country:US
Practice Address - Phone:516-750-0035
Practice Address - Fax:516-750-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health