Active NPI
Carelink-Cdpap Inc.
- Home Health Aide
- Brooklyn, NY
National Provider Identifier
1407355811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 9310L001
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9310L001 | NY | |
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01435836 | Medicaid | NY |
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.
-
- Home Health Agency
- Floral Park, NY
- NPI 1225227317
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.