NY HOME CARE SERVICE INC. (NPI# 1790209682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790209682 |
| Entity Type | Organization |
| Organization Name | NY HOME CARE SERVICE INC. |
| Practice Address |
4204 79th St Elmhurst NY 11373-3057 |
| Mailing Address |
90 Bowery Ste 40b New York NY 10013-4727 |
| Practice Telephone | 3473870968 |
| Mailing Telephone | 7188431333 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | CASEY LAM (PRESIDENT) |
| Authorized Official Telephone | 3473870968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 2269L001 | NY | Agencies |
| N | 253Z00000X | In Home Supportive Care | 2269L001 | NY | Agencies |
| Y | 251E00000X | Home Health | 2269L001 | NY | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11514 Rockaway Blvd, South Ozone Park, NY 114201914 | 7188431333 |
| Street Address |
4204 79TH ST |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528572195 | Ljny Home Health Agency, Inc. | Home Health | 8407 Broadway Ste 2, Elmhurst, NY 11373-5727 | 2017-11-18 |
| 1518401769 | Reliable Home Care Serices Corp. | Home Health | 5209 Van Loon St, 1floor, Elmhurst, NY 11373-4232 | 2016-12-07 |
| 1902156052 | United Home Care, Inc | Home Health | 7704 Broadway, Elmhurst, NY 11373-1927 | 2012-09-17 |
| 1700132917 | The Center for Recertification Inc | Home Health | 808 S Poplar Ave, Elmhurst, IL 60126-4543 | 2012-07-25 |
| 1609159953 | Kinetix Professional Management, Inc. | Home Health | 4207 Gleane St, Elmhurst, NY 11373-2748 | 2011-09-22 |
| 1154616399 | Smr Home Health Agency Inc. | Home Health | 135 South Palmer Drive, 101a, Elmhurst, IL 60126 | 2011-06-16 |
| 1144461906 | Alphonsa Home Health Care,inc | Home Health | 743 N Willow Rd, Elmhurst, IL 60126-1766 | 2009-03-08 |
| 1316034606 | Playing & Learning Therapy Services | Home Health | 713 N Adele St, Elmhurst, IL 60126-1701 | 2006-10-06 |
| 1780063453 | Ava Saltzman | Home Health | 9131 Queens Blvd, Elmhurst, NY 11373-5555 | 2015-05-27 |
| 1144611724 | Rencore Ura LLC | Home Health | 9131 Queens Blvd, Suite 201, Elmhurst, NY 11373-5555 | 2015-02-18 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.