Provider Demographics
NPI:1972664365
Name:AURORA HOME CARE, INC.
Entity type:Organization
Organization Name:AURORA HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:REDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-833-9000
Mailing Address - Street 1:5782 MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8219
Mailing Address - Country:US
Mailing Address - Phone:716-833-9000
Mailing Address - Fax:716-833-9000
Practice Address - Street 1:5782 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8219
Practice Address - Country:US
Practice Address - Phone:716-833-9000
Practice Address - Fax:716-833-9000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9342L001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00880424Medicaid