Great Direct Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT DIRECT CARE, INC.

Practice address

482 Coney Island Ave FL 2
Brooklyn, NY 11218-3409

Phone

(718) 513-1528

Fax

(718) 424-5480

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Rushik Patel

Title

Executive Director

Phone

(732) 429-2150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1437500048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183409",
            "telephone_number": "718-513-1528",
            "fax_number": "718-424-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183409",
            "telephone_number": "718-513-1528",
            "fax_number": "718-424-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT DIRECT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUSHIK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-429-2150"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.