Provider Demographics
NPI:1215314208
Name:BROOKLYN CARE LLC
Entity type:Organization
Organization Name:BROOKLYN CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARPOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-462-9001
Mailing Address - Street 1:37 GREENPOINT AVE
Mailing Address - Street 2:SUITE #309, BOX #24
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-1420
Mailing Address - Country:US
Mailing Address - Phone:347-462-9001
Mailing Address - Fax:347-462-9222
Practice Address - Street 1:37 GREENPOINT AVE
Practice Address - Street 2:SUITE #309, BOX #24
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:347-462-9001
Practice Address - Fax:347-462-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health