NPIMap

Organization Active NPI

Rockaway Home Attendant Services, Inc

  • Home Health Agency
  • Far Rockaway, NY
National Provider Identifier
1316469372
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROCKAWAY HOME ATTENDANT SERVICES, INC
Practice address
1603 Central Ave Ste 200
Far Rockaway, NY 11691-4003
Phone
(718) 471-5800
NPI assigned
Jul 12, 2017
Organization subpart
Yes
Parent organization
ROCKAWAY HOME ATTENDANT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Mr. Enosa Aibangbee
Title
Executive Director
Phone
(718) 471-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9696L001 NY
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1603 Central Ave Ste 200
Far Rockaway, NY 11691-4003

Mailing address

1603 Central Ave Ste 200
Far Rockaway, NY 11691-4003
Phone (718) 471-5800

Other identifiers 1

IdentifierTypeStateIssuer
04594258MedicaidNY

Other names 1

  • ROCKAWAY CDPAP HOME CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockaway Home Attendant Services Inc2 organizations share this tax ID, including this one
Part of
Rockaway Home Attendant Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1603 Central Ave
#200
Far Rockaway, NY 11691
Phone (718) 471-5800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1316469372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CENTRAL AVE STE 200",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914003",
            "telephone_number": "718-471-5800",
            "fax_number": "718-327-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CENTRAL AVE STE 200",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914003",
            "telephone_number": "718-471-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY HOME ATTENDANT SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKAWAY HOME ATTENDANT SERVICES, INC.",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "AIBANGBEE",
        "authorized_official_first_name": "ENOSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-471-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9696L001",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04594258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKAWAY CDPAP HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROCKAWAY CDPAP HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.