Provider Demographics
NPI:1285193599
Name:SSMC SERVICES CORPORATION
Entity type:Organization
Organization Name:SSMC SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-891-4663
Mailing Address - Street 1:2350 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3030
Mailing Address - Country:US
Mailing Address - Phone:718-891-4663
Mailing Address - Fax:718-891-4146
Practice Address - Street 1:2350 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3030
Practice Address - Country:US
Practice Address - Phone:718-891-4663
Practice Address - Fax:718-891-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health