Active NPI
Darlene Simone Larose, CNA
- Home Health Agency
- Bronx, NY
National Provider Identifier
1083846851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 337464840190E
- Practice address
- 4517 Monticello Ave
Bronx, NY 10466-1029 - Phone
- (917) 447-6211
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 337464840190E | NY | Primary |
Addresses
Primary practice location
4517 Monticello Ave
Bronx, NY 10466-1029
Mailing address
4517 Monticello Ave
Bronx, NY 10466-1029
Phone (917) 447-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263669425 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337464840190E | NY | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Service Home Care LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Bronx, NY
- NPI 1548582513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1083846851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 MONTICELLO AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661029",
"telephone_number": "917-447-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 MONTICELLO AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661029",
"telephone_number": "917-447-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "DARLENE",
"middle_name": "SIMONE",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "337464840190E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263669425",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.