NPIMap

Organization Active NPI

Kris Agency & Home Care Inc.

  • Early Intervention Provider Agency
  • Jamaica, NY
National Provider Identifier
1093267718
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
9220L001 Issued in NY
Legal business name
KRIS AGENCY & HOME CARE INC.
Practice address
16914 Hillside Ave
Jamaica, NY 11432-4435
Phone
(718) 262-9009
Fax
(718) 262-8213
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Mahadai DeokiNPI 1285879395
Title
Manager
Phone
(718) 262-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9220L001 NY
Mental Illness Intermediate Care Facility 310500000X 9220L001 NY
Custodial Care Facility 311Z00000X 9220L001 NY
Adult Care Home Facility 311ZA0620X 9220L001 NY
Skilled Nursing Facility 314000000X 9220L001 NY
Pediatric Skilled Nursing Facility 3140N1450X 9220L001 NY
Inpatient Hospice 315D00000X 9220L001 NY
Early Intervention Provider Agency 252Y00000X 9220L001 NY Primary

Addresses

Primary practice location

16914 Hillside Ave
Jamaica, NY 11432-4435

Mailing address

16914 Hillside Ave
Jamaica, NY 11432-4435
Phone (718) 262-9009

Other identifiers 1

IdentifierTypeStateIssuer
01287916MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Kris Agecny 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

16914 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1093267718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16914 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324435",
            "telephone_number": "718-262-9009",
            "fax_number": "718-262-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16914 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324435",
            "telephone_number": "718-262-9009",
            "fax_number": "718-262-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS AGENCY & HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "DEOKI",
        "authorized_official_first_name": "MAHADAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-262-9009"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NY",
            "license": "9220L001",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "9220L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.