Queens Long Island Certified Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7003616 Issued in NY

Legal business name

QUEENS LONG ISLAND CERTIFIED HOME HEALTH AGENCY LLC

Practice address

3625 Parsons Blvd
Flushing, NY 11354-5938

Phone

(718) 888-5294

Fax

(718) 461-9118

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jia-Luo Wang, RN

Title

Director

Phone

(718) 888-5294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1255730602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545938",
            "telephone_number": "718-888-5294",
            "fax_number": "718-461-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545938",
            "telephone_number": "718-888-5294",
            "fax_number": "718-461-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS LONG ISLAND CERTIFIED HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JIA-LUO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-888-5294",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7003616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Emergency Medical Associates PLLC
• Queens Family Dental
• Queens Family Medicine, PLLC
• Queens Hearing Center, Inc.
• Queens Internal Medicine & Geriatric PC
• Queens Long Island Certified Home Health Agency LLC
• Queens Medical Imaging, PC
• Queens Medical Radiotherapy PC
• Queens Nephron Medicine Docs PLLC
• Queens Neurology and Neuromuscular Medicine, PLLC

• Home Health Agency in Flushing, NY
• Providers in Flushing, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.