Primary Home Care Services,Inc.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

234738-1 Issued in NY

Legal business name

PRIMARY HOME CARE SERVICES,INC.

Practice address

18712 Hillside Ave
First Floor
Jamaica, NY 11432-3216

Phone

(718) 464-3900

Fax

(718) 740-5437

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Adelina Pascua Garabelis, R.N.

Title

Director of Patient Services

Phone

(718) 464-3900

Specialties & licenses 1

Addresses

Other names 1

• PHC Other name

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093845307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18712 HILLSIDE AVE",
            "address_2": "FIRST FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323216",
            "telephone_number": "718-464-3900",
            "fax_number": "718-740-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18712 HILLSIDE AVE",
            "address_2": "FIRST FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323216",
            "telephone_number": "718-464-3900",
            "fax_number": "718-740-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HOME CARE SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARABELIS",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "PASCUA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT  SERVICES",
        "authorized_official_telephone_number": "718-464-3900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "234738-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.