NPIMap

Organization Active NPI

Home Health

  • Respite Care
  • Bronx, NY
National Provider Identifier
1154640670
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
297810-1 Issued in NY
Legal business name
HOME HEALTH
Practice address
750 Grand Concourse
5B
Bronx, NY 10451-3106
Phone
(646) 401-6027
Fax
(646) 401-6027
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Darron Graham
Title
LPN
Phone
(646) 401-6027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 297810-1 NY Primary

Addresses

Primary practice location

750 Grand Concourse
5B
Bronx, NY 10451-3106

Mailing address

750 Grand Concourse
5B
Bronx, NY 10451-3106
Phone (646) 401-6027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1154640670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GRAND CONCOURSE",
            "address_2": "5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513106",
            "telephone_number": "646-401-6027",
            "fax_number": "646-401-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GRAND CONCOURSE",
            "address_2": "5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513106",
            "telephone_number": "646-401-6027",
            "fax_number": "646-401-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DARRON",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "646-401-6027"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NY",
            "license": "297810-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.