Fuller Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

526438 Issued in NY

Legal business name

FULLER HOME CARE AGENCY

Practice address

1102 Gates Ave
Brooklyn, NY 11221-4304

Phone

(347) 300-5858

NPI assigned

May 12, 2015

Last updated

May 12, 2015By 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. Linda Kay Fuller, RNNPI 1619297058

Title

Owner

Phone

(347) 300-5858

Specialties & licenses 1

Addresses

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.

• Linda Kay Fuller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1619297058
  Authorized official Same address or phone

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1326426297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214304",
            "telephone_number": "347-300-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214304",
            "telephone_number": "347-300-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-300-5858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "526438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Fulenwider
• Full Care Pharmacy Inc (Community Care Pharmacy)
• Full Circle Eip Inc
• Full Circle Psychology PLLC
• Full Healthcare Pharmacy, Inc
• Fuller Smiles PLLC
• Frances Anne Fuller
• Karen Lackritz Fuller, MSW
• Linda Kay Fuller, NP
• Zohar Fuller

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, 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 May 12, 2015; 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.