Organization Active NPI

Ahava Home Care LLC

Doing business as Medstat Ambulance

  • Ambulance
  • Brooklyn, NY
National Provider Identifier
1023313186
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
13868 Issued in NY
Legal business name
AHAVA HOME CARE LLC
Doing business as
Medstat Ambulance
Practice address
5350 Kings Hwy
Brooklyn, NY 11203-6703
Phone
(718) 629-1000
Fax
(718) 629-5151
NPI assigned
Jan 21, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Mr. Todd Miller
Title
Ceo
Phone
(718) 629-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 13868 NY Primary

Addresses

Primary practice location

5350 Kings Hwy
Brooklyn, NY 11203-6703

Mailing address

5350 Kings Hwy
Brooklyn, NY 11203-6703
Phone (718) 629-1000

Other names 1

  • Medstat Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

5350 Kings Hwy
Brooklyn, NY 11203
Phone (718) 629-1000

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1023313186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036703",
            "telephone_number": "718-629-1000",
            "fax_number": "718-629-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036703",
            "telephone_number": "718-629-1000",
            "fax_number": "718-629-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-629-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "13868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medstat Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.