Provider Demographics
NPI:1891890505
Name:CMS HEALTH SERVICE INC.
Entity type:Organization
Organization Name:CMS HEALTH SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-223-5110
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-0165
Mailing Address - Country:US
Mailing Address - Phone:347-223-5110
Mailing Address - Fax:718-228-7139
Practice Address - Street 1:2 PERLMAN DR
Practice Address - Street 2:SUITE LL13
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5245
Practice Address - Country:US
Practice Address - Phone:347-223-5110
Practice Address - Fax:718-228-7139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0878610001Medicare NSC