Big Heart

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1412L001 Issued in NY

Legal business name

BIG HEART

Practice address

1302 Kings Hwy FL 3
Brooklyn, NY 11229-1964

Phone

(917) 660-5896

Fax

(347) 542-4152

NPI assigned

Aug 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vladimir Reznic

Title

Ceo

Phone

(347) 542-4150

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Big Heart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Big Heart Home Care

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1063139269
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1013463314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234134",
            "telephone_number": "347-542-4150",
            "fax_number": "347-542-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 KINGS HWY FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291964",
            "telephone_number": "917-660-5896",
            "fax_number": "347-542-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "REZNIC",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-542-4150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "1412L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04485810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.