St. Nicks Alliance Home Care Corp.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

0899L001 Issued in NY

Legal business name

ST. NICKS ALLIANCE HOME CARE CORP.

Practice address

2 Kingsland Ave FL 2
Brooklyn, NY 11211-1695

Phone

(718) 388-5522

Fax

(718) 388-0476

NPI assigned

Jul 26, 2011

Organization subpart

No

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

Authorized official

Name

Michael Rochford

Title

Executive Director

Phone

(718) 388-5522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Nicholas Human Support Corp Former legal business name

Tax ID family

St Nicholas Human Support Corp2 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.

• St. Nicholas Human Support Corporation

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1124156740
  NPD tax ID

Locations

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124306063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KINGSLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111695",
            "telephone_number": "718-388-5522",
            "fax_number": "718-388-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KINGSLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111695",
            "telephone_number": "718-388-5522",
            "fax_number": "718-388-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICKS ALLIANCE HOME CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROCHFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-388-5522"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "0899L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH - HOME CARE SERVICE AGENCY LICENCE",
            "identifier": "0899L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Nicholas Human Support Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• St. Nicholas Gastroenterology P C
• St. Nicholas Human Support Corporation
• St. Nicholas Medical PC
• St. Nicholas OB/GYN Associates, P.C.
• St. Nicks Alliance Corp
• Jade Tyanna Lilly St. Paul, M.D.
• Lydia St. Paul
• Simone St. Paul
• St. Pavly PT PC
• Muller St. Pre, M.D.

• In Home Supportive Care Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.