Centercare Cdpas LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CENTERCARE CDPAS LLC

Practice address

5743 263Rd St
Little Neck, NY 11362-2228

Phone

(718) 902-1386

NPI assigned

May 17, 2017

Last updated

Jul 21, 2022By 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

Iris He, RN

Title

Administrator

Phone

(347) 625-8002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275060642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 263RD ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622228",
            "telephone_number": "718-902-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 263RD ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622228",
            "telephone_number": "718-902-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERCARE CDPAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-625-8002",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04705166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Chen
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• Katherine P Chin, RDN
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• Home Health Agency in Little Neck, NY
• Providers in Little Neck, 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 Jul 21, 2022; 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.