Organization Active NPI

Sr Home Care

  • Home Health Agency
  • Flushing, NY
National Provider Identifier
1144766973
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1907-L001 Issued in NY
Legal business name
SR HOME CARE
Practice address
3710 149TH PL
1B
Flushing, NY 11354-4916
Phone
(718) 321-2113
Fax
(718) 925-4105
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
James Koo
Title
President
Phone
(718) 321-2113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 1907-L001 NY Primary

Addresses

Primary practice location

3710 149TH PL
1B
Flushing, NY 11354-4916

Mailing address

3710 149TH PL
1B
Flushing, NY 11354-4916
Phone (718) 321-2113

National Provider Directory

National Provider Directory
Tax ID family
Sr Home Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1144766973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 149TH PL",
            "address_2": "1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544916",
            "telephone_number": "718-321-2113",
            "fax_number": "718-925-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 149TH PL",
            "address_2": "1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544916",
            "telephone_number": "718-321-2113",
            "fax_number": "718-925-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-2113"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1907-L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.