NPIMap

Organization Active NPI

Tri-Borough Certified Health Services of New York. LLC

  • Home Health Agency
  • Hempstead, NY
National Provider Identifier
1447208145
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2952600 Issued in NY
Legal business name
TRI-BOROUGH CERTIFIED HEALTH SERVICES OF NEW YORK. LLC
Practice address
50 Clinton St Ste 601
Hempstead, NY 11550-4282
Phone
(516) 932-7799
Fax
(516) 932-1415
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Ms. Joycelyn Wills
Title
Administrator
Phone
(516) 932-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2952600 NY Primary

Addresses

Primary practice location

50 Clinton St Ste 601
Hempstead, NY 11550-4282

Mailing address

50 Clinton St Ste 601
Hempstead, NY 11550-4282
Phone (516) 932-7799

Other identifiers 1

IdentifierTypeStateIssuer
01053983MedicaidNY

Other names 1

  • Family Care Certified Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Care Certified Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 W John St
#G
Hicksville, NY 11801
Phone (516) 932-7799

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1447208145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CLINTON ST STE 601",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504282",
            "telephone_number": "516-932-7799",
            "fax_number": "516-932-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLINTON ST STE 601",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504282",
            "telephone_number": "516-932-7799",
            "fax_number": "516-932-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-BOROUGH CERTIFIED HEALTH SERVICES OF NEW YORK. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "JOYCELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-932-7799",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2952600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01053983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Certified Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Care Certified Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.