Captor USA, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

4894444 Issued in NY

Legal business name

CAPTOR USA, INC.

Practice address

3715 73Rd St Ste 205
Jackson Heights, NY 11372-6262

Phone

(201) 456-3103

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Iftekhar Ahmed, MSS IN ECONOMICS

Title

Ceo

Phone

(201) 456-3103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285162685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 73RD ST STE 205",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726262",
            "telephone_number": "201-456-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 73RD ST STE 205",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726262",
            "telephone_number": "201-456-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTOR USA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IFTEKHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-456-3103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSS IN ECONOMICS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "4894444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Camilo, MSW
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• In Home Supportive Care Agency in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• In Home Supportive Care 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.