Organization Active NPI

Sunnyside Home Care Project, Inc.

  • Home Health Agency
  • Long Island City, NY
National Provider Identifier
1104024926
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0911L001 Issued in NY
Legal business name
SUNNYSIDE HOME CARE PROJECT, INC.
Practice address
4331 39TH St
Long Island City, NY 11104-4351
Phone
(718) 784-6160
Fax
(718) 786-6810
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Michael V. Byrne
Title
Associate Executive Director Financ
Phone
(718) 784-6173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0911L001 NY Primary

Addresses

Primary practice location

4331 39TH St
Long Island City, NY 11104-4351

Mailing address

4331 39TH St
Long Island City, NY 11104-4351
Phone (718) 784-6160

Other identifiers 1

IdentifierTypeStateIssuer
00925219MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1104024926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 39TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111044351",
            "telephone_number": "718-784-6160",
            "fax_number": "718-786-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 39TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111044351",
            "telephone_number": "718-784-6160",
            "fax_number": "718-786-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE HOME CARE PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR FINANC",
        "authorized_official_telephone_number": "718-784-6173"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0911L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00925219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.