Organization Active NPI

Complete Medical Personnel

  • Home Health Agency
  • Mount Vernon, NY
National Provider Identifier
1033425905
Registry record updated Aug 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE MEDICAL PERSONNEL
Practice address
159 S 11TH Ave
Suite 2S
Mount Vernon, NY 10550-2928
Phone
(917) 686-6133
NPI assigned
Aug 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2010

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

Authorized official

Name
Ms. Carolyn Maria Porter
Title
Founder
Phone
(917) 686-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

159 S 11TH Ave
Suite 2S
Mount Vernon, NY 10550-2928

Mailing address

159 S 11TH Ave
Suite 2S
Mount Vernon, NY 10550-2928
Phone (917) 686-6133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283040000000",
    "number": "1033425905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 S 11TH AVE",
            "address_2": "SUITE 2S",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502928",
            "telephone_number": "917-686-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S 11TH AVE",
            "address_2": "SUITE 2S",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502928",
            "telephone_number": "917-686-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL PERSONNEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-29",
        "last_updated": "2010-08-29",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-686-6133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; 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.