Home Care Nurse

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2906851 Issued in NY

Legal business name

HOME CARE NURSE

Practice address

4416 Monticello Ave
Bronx, NY 10466

Phone

(646) 707-9830

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Crystal Bianca Gayle

Title

LPN

Phone

(646) 707-9830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1447793526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 MONTICELLO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661138",
            "telephone_number": "646-707-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 MONTICELLO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "646-707-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "BIANCA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "646-707-9830"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2906851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li H Hom, RPH
• Robert Michael Homayoon, D.M.D.
• Home
• Home Aid Medical Equipment & Supplies Inc
• Home Assistance Personnel, Inc.
• Home for the Aged of the Little Sisters of the Poor of the City of Ny
• Home Health
• Home Health Associates of Ny LLC
• Home Safely Transportation
• Home Therapy PT Physical and Occupational Therapy LLC

• Home Health Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.