NPIMap

Organization Active NPI

Verdun Home Health Care Inc

  • Home Health Agency
  • Laurelton, NY
National Provider Identifier
1174668149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1132L001 Issued in NY
Legal business name
VERDUN HOME HEALTH CARE INC
Practice address
23218 Merrick Blvd
Laurelton, NY 11413-2115
Phone
(718) 528-3432
Fax
(718) 528-3303
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mildred Gonsalves
Title
President
Phone
(718) 528-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1132L001 NY Primary

Addresses

Primary practice location

23218 Merrick Blvd
Laurelton, NY 11413-2115

Mailing address

23218 Merrick Blvd
Laurelton, NY 11413-2115
Phone (718) 528-3432

Other identifiers 1

IdentifierTypeStateIssuer
02567797MedicaidNY

National Provider Directory

National Provider Directory

Locations

23218 Merrick Blvd
Laurelton, NY 11413
Phone (718) 528-3452

Practitioners & affiliated clinicians

Practitioners 100

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

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174668149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23218 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132115",
            "telephone_number": "718-528-3432",
            "fax_number": "718-528-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23218 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132115",
            "telephone_number": "718-528-3432",
            "fax_number": "718-528-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONSALVES",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-528-3432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1132L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02567797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.