Active NPI
Full Care, Inc.
- Nursing Care Agency
- Bronx, NY
National Provider Identifier
1386797611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 9422L001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01416173 | Medicaid | NY | |
| 01769144 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Licensed Practical Nurse
- West Nyack, NY
- NPI 1487978417
-
- Home Health Registered Nurse
- West Nyack, NY
- NPI 1780867150
-
- Registered Nurse
- West Nyack, NY
- NPI 1720304058
-
- Licensed Practical Nurse
- West Nyack, NY
- NPI 1871810184
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.