Active NPI
Isabella Geriatric Center, Inc.
- Home Health Agency
- New York, NY
National Provider Identifier
1144245978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7002905L
- Legal business name
- ISABELLA GERIATRIC CENTER, INC.
- Practice address
- 5073 Broadway
Attn: Home Care
New York, NY 10034-1131 - Phone
- (212) 342-9500
- Fax
- (212) 342-9876
- NPI assigned
- Jul 13, 2006
- Organization subpart
- Yes
- Parent organization
- ISABELLA GERIATRIC CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark J Kator
- Title
- President Ceo
- Phone
- (212) 342-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7002905L | NY | Primary |
Addresses
Primary practice location
5073 Broadway
Attn: Home Care
New York, NY 10034-1131
Mailing address
515 Audubon Ave
Attn: Finance
New York, NY 10040-3403
Phone (212) 342-9309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01115122 | Medicaid | NY |
Other names 1
- Isabella Home Care
National Provider Directory
National Provider Directory- Part of
- Isabella Geriatric Center Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1144245978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 AUDUBON AVE",
"address_2": "ATTN: FINANCE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100403403",
"telephone_number": "212-342-9309",
"fax_number": "212-781-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5073 BROADWAY",
"address_2": "ATTN: HOME CARE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341131",
"telephone_number": "212-342-9500",
"fax_number": "212-342-9876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELLA GERIATRIC CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ISABELLA GERIATRIC CENTER, INC.",
"enumeration_date": "2006-07-13",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "KATOR",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "212-342-9300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "7002905L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01115122",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Isabella Home Care",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.