Organization Active NPI

Dragon Home Care, LLC

  • In Home Supportive Care Agency
  • Brooklyn, NY
National Provider Identifier
1083375729
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DRAGON HOME CARE, LLC
Practice address
6608 Bay Pkwy FL 1
Brooklyn, NY 11204-3933
Phone
(718) 666-6977
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Wai Lun Chan
Title
President
Phone
(718) 666-6977

Specialties & licenses 1

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

Addresses

Primary practice location

6608 Bay Pkwy FL 1
Brooklyn, NY 11204-3933

Mailing address

6608 Bay Pkwy FL 1
Brooklyn, NY 11204-3933
Phone (718) 666-6977

Other identifiers 1

IdentifierTypeStateIssuer
04872919MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dragon Home Care LLC2 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

6811 20th Ave
Brooklyn, NY 11204

6608 Bay Pkwy
#1
Brooklyn, NY 11204
Phone (718) 666-6977

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1083375729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 BAY PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043933",
            "telephone_number": "718-666-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 BAY PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043933",
            "telephone_number": "718-666-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGON HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WAI LUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-666-6977"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04872919",
            "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 Apr 3, 2025; 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.