Organization Active NPI

Palm Beach Health Care Agency

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1083932636
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0666L001 Issued in NY
Legal business name
PALM BEACH HEALTH CARE AGENCY
Practice address
2900 Bragg St
Brooklyn, NY 11235-1144
Phone
(718) 891-8400
Fax
(718) 568-3389
NPI assigned
May 6, 2010
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Mrs. Kathleen Patricia Flynn, RN
Title
DPS/Administrator
Phone
(718) 891-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0666L001 NY Primary

Addresses

Primary practice location

2900 Bragg St
Brooklyn, NY 11235-1144

Mailing address

2900 Bragg St
Brooklyn, NY 11235-1144
Phone (718) 891-8400

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Health Care Agency2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1083932636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRAGG ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351144",
            "telephone_number": "718-891-8400",
            "fax_number": "718-568-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRAGG ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351144",
            "telephone_number": "718-891-8400",
            "fax_number": "718-568-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "DPS/ADMINISTRATOR",
        "authorized_official_telephone_number": "718-891-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0666L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 6, 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.