Kathleen Basile

Individual provider Active NPI Nursing Care Agency · Niagara Falls, NY

NPI 1174929673 · NPPES record last updated Nov 10, 2014

Key facts

NPI
1174929673
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Care Agency 251J00000X
License
228744 (NY)
Practice address
2043 Military Rd
Niagara Falls, NY 14304-1724
Phone
(716) 298-1777
Fax
(716) 298-1707
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
228744NYMDNursing Care Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 228744 NY Yes

Addresses

Primary practice location

2043 Military Rd
Niagara Falls, NY 14304-1724

Mailing address

1707 Lake Rd
Youngstown, NY 14174-9726
Phone (716) 745-7104

Other providers in Niagara Falls, NY

All providers in Niagara Falls, NY · Nursing Care Agency in New York

Sources for this page

Verify at the official NPI Registry.