NPIMap

Organization Active NPI

Emerald Health Care Services

  • In Home Supportive Care Agency
  • Brooklyn, NY
National Provider Identifier
1083997993
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
526438 Issued in NY
Legal business name
EMERALD HEALTH CARE SERVICES
Practice address
1102 Gates Ave
2ND Floor
Brooklyn, NY 11221-4304
Phone
(347) 300-5858
Fax
(212) 202-4051
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Ms. Linda Kay Fuller, RN
Title
Owner
Phone
(347) 300-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 526438 NY Primary

Addresses

Primary practice location

1102 Gates Ave
2ND Floor
Brooklyn, NY 11221-4304

Mailing address

1102 Gates Ave
2ND Floor
Brooklyn, NY 11221-4304
Phone (347) 300-5858

Other names 1

  • EMERALD PERSONAL CARE AGENCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emerald Health Care Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1083997993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GATES AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214304",
            "telephone_number": "347-300-5858",
            "fax_number": "212-202-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GATES AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214304",
            "telephone_number": "347-300-5858",
            "fax_number": "212-202-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-300-5858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "526438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERALD PERSONAL CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2011; 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.