Provider Demographics
NPI:1992145916
Name:YORK HEALTHCARE, LLC
Entity type:Organization
Organization Name:YORK HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-460-4200
Mailing Address - Street 1:12034 QUEENS BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1230
Mailing Address - Country:US
Mailing Address - Phone:718-460-4200
Mailing Address - Fax:347-368-4828
Practice Address - Street 1:120-34 QUEENS BOULEVARD
Practice Address - Street 2:SUITE 340
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1230
Practice Address - Country:US
Practice Address - Phone:718-460-4200
Practice Address - Fax:347-368-4828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-05
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2044-L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health