Early Childhood Intervention Services, PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

O17O19 Issued in NY

Legal business name

EARLY CHILDHOOD INTERVENTION SERVICES, PLLC

Practice address

14459 176TH St
Jamaica, NY 11434-4932

Phone

(718) 344-4508

NPI assigned

Sep 9, 2010

Last updated

Sep 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paula Sims, MS CCC-SLP

Title

Director

Phone

(718) 977-0110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1043527237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14459 176TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344932",
            "telephone_number": "718-344-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14459 176TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344932",
            "telephone_number": "718-344-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY CHILDHOOD INTERVENTION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-977-0110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "O17O19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne L. Eagan, LCSW
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• Home Health Agency in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.