Provider Demographics
NPI:1861763872
Name:MICAL HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:MICAL HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYAH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MED, PHD
Authorized Official - Phone:718-588-5100
Mailing Address - Street 1:1250 EDWARD L GRANT HWY
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-3100
Mailing Address - Country:US
Mailing Address - Phone:718-588-5100
Mailing Address - Fax:718-588-5101
Practice Address - Street 1:1250 EDWARD L GRANT HWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3100
Practice Address - Country:US
Practice Address - Phone:718-588-5100
Practice Address - Fax:718-588-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1522L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03034053Medicaid