Beth Abraham Health Services HC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BETH ABRAHAM HEALTH SERVICES HC

Practice address

1815 Cornaga Ave
Far Rockaway, NY 11691-4305

Phone

(718) 868-8360

NPI assigned

Jul 15, 2006

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Mann

Title

Cfo

Phone

(718) 519-5937

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1114943727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CORNAGA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CORNAGA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914305",
            "telephone_number": "718-868-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ABRAHAM HEALTH SERVICES HC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-519-5937"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00890813",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.