Basic Information
| Provider Information | |||||||||
| NPI: | 1841384906 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AFTERCARE NURSING SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1680 WALDEN AVE | ||||||||
| Address2: | |||||||||
| City: | CHEEKTOWAGA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142254914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168947777 | ||||||||
| FaxNumber: | 7168940604 | ||||||||
| Practice Location | |||||||||
| Address1: | 1680 WALDEN AVE | ||||||||
| Address2: | |||||||||
| City: | CHEEKTOWAGA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142254914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168947777 | ||||||||
| FaxNumber: | 7168940604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MULLINS | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | WAYNE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7168947777 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 9058L001 | NY | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 01180189 | 05 | NY | MEDICAID | 01185657 | 05 | NY | MEDICAID |