New Age Home Care, Inc.

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

9739L001 Issued in NY

Legal business name

NEW AGE HOME CARE, INC.

Practice address

4288 Arthur Kill Rd Ste 2
Staten Island, NY 10309-1331

Phone

(718) 980-3793

Fax

(718) 980-3799

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert Hagerman, R.N.

Title

Pre/Ceo

Phone

(718) 980-3793

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1154312486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 ARTHUR KILL RD STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091331",
            "telephone_number": "718-980-3793",
            "fax_number": "718-980-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4288 ARTHUR KILL RD STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091331",
            "telephone_number": "718-980-3793",
            "fax_number": "718-980-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "HAGERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRE/CEO",
        "authorized_official_telephone_number": "718-980-3793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "9739L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01597277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Home Infusion Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.