Organization Active NPI

Ubodr

  • Home Health Agency
  • Middle Village, NY
National Provider Identifier
1184926594
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009256-1 Issued in NY
Legal business name
UBODR
Practice address
6136 64TH St
Middle Village, NY 11379-1023
Phone
(646) 552-8325
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Glorilyn M Corpuz, OTRNPI 1538393673
Title
Ceo
Phone
(646) 552-8325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009256-1 NY Primary

Addresses

Primary practice location

6136 64TH St
Middle Village, NY 11379-1023

Mailing address

6136 64TH St
Middle Village, NY 11379-1023
Phone (646) 552-8325

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1184926594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 64TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791023",
            "telephone_number": "646-552-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 64TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791023",
            "telephone_number": "646-552-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBODR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "CORPUZ",
        "authorized_official_first_name": "GLORILYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-552-8325",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "009256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.