Organization Active NPI

Abc Health Service Reg. Inc.

  • In Home Supportive Care Agency
  • Flushing, NY
National Provider Identifier
1154857555
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
9137L001 Issued in NY
Legal business name
ABC HEALTH SERVICE REG. INC.
Practice address
13340 37TH Ave Apt 2
Flushing, NY 11354-4456
Phone
(718) 359-2284
Fax
(718) 359-3252
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Mrs. Jenny F. Chan
Title
President/Administrator
Phone
(516) 318-8171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 9137L001 NY Primary
Health Service Clinic/Center 261QH0100X 9137L001 NY

Addresses

Primary practice location

13340 37TH Ave Apt 2
Flushing, NY 11354-4456

Mailing address

13340 37TH Ave Apt 2
Flushing, NY 11354-4456
Phone (718) 359-2284

Other identifiers 1

IdentifierTypeStateIssuer
04690575MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Abc Health Service Reg Inc2 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": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1154857555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 37TH AVE APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544456",
            "telephone_number": "718-359-2284",
            "fax_number": "718-359-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 37TH AVE APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544456",
            "telephone_number": "718-359-2284",
            "fax_number": "718-359-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HEALTH SERVICE REG. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "516-318-8171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "9137L001",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "9137L001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04690575",
            "state": "NY"
        }
    ],
    "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 May 4, 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.