Provider Demographics
NPI:1558819524
Name:HEALTHY AGING HOMECARE, INC.
Entity type:Organization
Organization Name:HEALTHY AGING HOMECARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-744-5934
Mailing Address - Street 1:8914 168TH ST # A102
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4334
Mailing Address - Country:US
Mailing Address - Phone:646-744-5934
Mailing Address - Fax:
Practice Address - Street 1:8914 168TH ST # A102
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4334
Practice Address - Country:US
Practice Address - Phone:646-744-5934
Practice Address - Fax:929-210-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty