Compassionate Care Hospice of New York, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSIONATE CARE HOSPICE OF NEW YORK, LLC

Practice address

1535 E 17TH St
Brooklyn, NY 11230-6767

Phone

(718) 645-6300

Fax

(718) 645-6302

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Judith I Grey

Title

Member

Phone

(973) 402-4712

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1013910413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CONNECTICUT DR",
            "address_2": "STE 1",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164177",
            "telephone_number": "609-267-1178",
            "fax_number": "609-239-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306767",
            "telephone_number": "718-645-6300",
            "fax_number": "718-645-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE HOSPICE OF NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-402-4712"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.