Organization Active NPI

Social Concern Community Development

  • Home Health Agency
  • Springfield Gardens, NY
National Provider Identifier
1043413750
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9622L001 Issued in NY
Legal business name
SOCIAL CONCERN COMMUNITY DEVELOPMENT
Practice address
22618 Merrick Blvd
Laurelton
Springfield Gardens, NY 11413-2101
Phone
(718) 978-7775
Fax
(718) 276-3766
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charlene Jordan
Title
Director
Phone
(718) 978-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9622L001 NY Primary

Addresses

Primary practice location

22618 Merrick Blvd
Laurelton
Springfield Gardens, NY 11413-2101

Mailing address

22618 Merrick Blvd
Laurelton
Springfield Gardens, NY 11413-2101
Phone (718) 978-7775

National Provider Directory

National Provider Directory

Locations

22618 Merrick Blvd
Laurelton, NY 11413
Phone (718) 978-7775

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043413750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22618 MERRICK BLVD",
            "address_2": "LAURELTON",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132101",
            "telephone_number": "718-978-7775",
            "fax_number": "718-276-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22618 MERRICK BLVD",
            "address_2": "LAURELTON",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132101",
            "telephone_number": "718-978-7775",
            "fax_number": "718-276-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL CONCERN COMMUNITY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-978-7775"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9622L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.