Active NPI
Taylor Made Home Care Agency
- Home Health Aide
- Elmont, NY
National Provider Identifier
1104451152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- TAYLOR MADE HOME CARE AGENCY
- Practice address
- 1389 Hempstead Tpke
Elmont, NY 11003-2546 - Phone
- (516) 744-6161
- Fax
- (516) 775-6160
- NPI assigned
- Mar 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Lynette Baker
- Title
- Owner
- Phone
- (516) 744-6161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1389 Hempstead Tpke
Elmont, NY 11003-2546
Mailing address
1389 Hempstead Tpke
Elmont, NY 11003-2546
Phone (516) 744-6161
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Elmont, NY
- NPI 1043845670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583798400000",
"number": "1104451152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 HEMPSTEAD TPKE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032546",
"telephone_number": "516-744-6161",
"fax_number": "516-775-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 HEMPSTEAD TPKE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032546",
"telephone_number": "516-744-6161",
"fax_number": "516-775-6160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR MADE HOME CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-744-6161"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.