Swing Bean Cafe LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SWING BEAN CAFE LLC

Practice address

45 Knollwood Rd Ste 102
Elmsford, NY 10523-2806

Phone

(914) 752-2109

Fax

(914) 747-7577

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Louise Weadock, RN,NPH

Title

Chief Nursing Officer

Phone

(914) 752-2102

Specialties & licenses 1

Addresses

Other names 1

• COVID CLEAR SERVICES Doing business as

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1164014684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KNOLLWOOD RD STE 102",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232806",
            "telephone_number": "914-752-2109",
            "fax_number": "914-747-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 KNOLLWOOD RD STE 102",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232806",
            "telephone_number": "914-752-2109",
            "fax_number": "914-747-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWING BEAN CAFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "WEADOCK",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "914-752-2102",
        "authorized_official_credential": "RN,NPH"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVID CLEAR SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Elmsford, NY
• Providers in Elmsford, NY by specialty
• Nursing Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.