Organization Active NPI

Centerlight Certified Home Health Agency

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1154669133
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERLIGHT CERTIFIED HOME HEALTH AGENCY
Practice address
596 Prospect PL
Brooklyn, NY 11238-4205
Phone
(718) 362-1453
Fax
(718) 638-9124
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mr. Paul Rosenfeld
Title
Chief Operating Officer
Phone
(718) 519-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

596 Prospect PL
Brooklyn, NY 11238-4205

Mailing address

1250 Waters PL
Suite 602
Bronx, NY 10461-2720
Phone (718) 519-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1250 Waters Pl
Ste 602
Bronx, NY 10461
Phone (877) 226-8500

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 22, 2020 Change of OwnershipThis provider was the seller Cassena Care at HomeCCN 337441, NY, NPI 1114557931

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1154669133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 602",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-519-4022",
            "fax_number": "718-519-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384205",
            "telephone_number": "718-362-1453",
            "fax_number": "718-638-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLIGHT CERTIFIED HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-519-4032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.