Queens Community House, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

QUEENS COMMUNITY HOUSE, INC.

Practice address

108-25 62ND Drive
Forest Hills, NY 11375-1217

Phone

(718) 592-5757

Fax

(718) 592-2933

NPI assigned

Dec 11, 2019

Organization subpart

Yes

Parent organization

QUEENS COMMUNITY HOUSE INC.As reported in NPPES

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

Authorized official

Name

Kurt Fakira

Title

Chief Operating Officer

Phone

(718) 592-5757

Specialties & licenses 1

Addresses

Other names 1

• Queens Community House-Social Adult Day Services Other name

Part of

Queens Community House Inc

Locations

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1164060083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108-25 62ND DRIVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751217",
            "telephone_number": "718-592-5757",
            "fax_number": "718-592-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-25 62ND DRIVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751217",
            "telephone_number": "718-592-5757",
            "fax_number": "718-592-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COMMUNITY HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEENS COMMUNITY HOUSE INC.",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "FAKIRA",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-592-5757"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Community House-Social Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Queens Atlantic Medical, PLLC
• Queens Central Pharmacy Inc
• Queens Family Medical Health and Wellness, PC
• Queens Hematology Oncology PC
• Queens Medical Imaging, PC
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• Queens Medical of New York LLC

• Respite Care in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Respite Care in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.