Organization Active NPI

Five Borough Home Care, Inc

  • In Home Supportive Care Agency
  • Brooklyn, NY
National Provider Identifier
1083098768
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1668L001 Issued in NY
Legal business name
FIVE BOROUGH HOME CARE, INC
Practice address
1893 Coney Island Ave
Brooklyn, NY 11230-6512
Phone
(718) 758-5670
Fax
(866) 270-0585
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Yuri Rozenblyum
Title
Administrator
Phone
(718) 758-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1668L001 NY Primary

Addresses

Primary practice location

1893 Coney Island Ave
Brooklyn, NY 11230-6512

Mailing address

1893 Coney Island Ave
Brooklyn, NY 11230-6512
Phone (718) 758-5670

Other identifiers 1

IdentifierTypeStateIssuer
1668L001OtherNYLHCSA

National Provider Directory

National Provider Directory
Tax ID family
Five Borough Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1893 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 758-5670

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1083098768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306512",
            "telephone_number": "718-758-5670",
            "fax_number": "866-270-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306512",
            "telephone_number": "718-758-5670",
            "fax_number": "866-270-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE BOROUGH HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "ROZENBLYUM",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-758-5670"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "1668L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHCSA",
            "identifier": "1668L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 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.