Organization Active NPI

Advance Home Care

Doing business as Sincere Care Agency

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1215392626
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1445L001 Issued in NY
Legal business name
ADVANCE HOME CARE
Doing business as
Sincere Care Agency
Practice address
2546 E 17TH St Ste 2
Brooklyn, NY 11235-3561
Phone
(718) 864-0977
NPI assigned
Dec 30, 2015
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Renata KhavinNPI 1053611962
Title
Administrator
Phone
(718) 934-0004

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 1445L001 NY Primary

Addresses

Primary practice location

2546 E 17TH St Ste 2
Brooklyn, NY 11235-3561

Mailing address

2546 E 17TH St Ste 2
Brooklyn, NY 11235-3561
Phone (718) 864-0977

Other identifiers 1

IdentifierTypeStateIssuer
04174937MedicaidNY

Other names 1

  • Sincere Care Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advance Home Care2 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.

Locations

1615 Sheepshead Bay Rd
#2R
Brooklyn, NY 11235
Phone (718) 934-0004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1215392626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 17TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353561",
            "telephone_number": "718-864-0977",
            "fax_number": "718-934-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 17TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353561",
            "telephone_number": "718-864-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAVIN",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-934-0004"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1445L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04174937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sincere Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sincere Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.