Organization Active NPI

Carelink-Cdpap Inc.

  • Home Health Aide
  • Brooklyn, NY
National Provider Identifier
1407355811
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
9310L001 Issued in NY
Legal business name
CARELINK-CDPAP INC.
Practice address
188 Montague St
Brooklyn, NY 11201-3605
Phone
(718) 488-8300
Fax
(718) 488-0845
NPI assigned
Feb 12, 2018
Organization subpart
Yes
Parent organization
CARELINK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Ena M Bailey, RN
Title
Administrator
Phone
(516) 358-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 9310L001 NY
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 9310L001 NY Primary

Addresses

Primary practice location

188 Montague St
Brooklyn, NY 11201-3605

Mailing address

25 S Tyson Ave
Floral Park, NY 11001-2018
Phone (516) 358-1999

Other identifiers 1

IdentifierTypeStateIssuer
01435836MedicaidNY

National Provider Directory

National Provider Directory
Part of
Carelink Inc

Locations

188 Montague St
Brooklyn, NY 11201
Phone (718) 488-8300

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1407355811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S TYSON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012018",
            "telephone_number": "516-358-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013605",
            "telephone_number": "718-488-8300",
            "fax_number": "718-488-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK-CDPAP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARELINK, INC.",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-358-1999",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "9310L001",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "9310L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01435836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.