Organization Active NPI

Full Care, Inc.

  • Nursing Care Agency
  • Bronx, NY
National Provider Identifier
1386797611
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
9422L001 Issued in NY
Legal business name
FULL CARE, INC.
Practice address
749 E 135TH St Ste 102&103
Bronx, NY 10454-3408
Phone
(347) 621-6640
Fax
(347) 338-6799
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Mr. Gordon J. Gerard
Title
Ceo
Phone
(516) 849-6586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 9422L001 NY Primary

Addresses

Primary practice location

749 E 135TH St Ste 102&103
Bronx, NY 10454-3408

Mailing address

749 E 135TH St Ste 102&103
Bronx, NY 10454-3408
Phone (347) 621-6640

Other identifiers 2

IdentifierTypeStateIssuer
01416173MedicaidNY
01769144MedicaidNY

National Provider Directory

National Provider Directory

Locations

749 E 135th St
Ste 102103
Bronx, NY 10454
Phone (347) 621-6640

719 W Nyack Rd
Ste 27
West Nyack, NY 10994
Phone (845) 358-2002

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1386797611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 E 135TH ST STE 102&103",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543408",
            "telephone_number": "347-621-6640",
            "fax_number": "347-338-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 E 135TH ST STE 102&103",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543408",
            "telephone_number": "347-621-6640",
            "fax_number": "347-338-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-849-6586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "9422L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01416173",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01769144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.