Organization Active NPI

Life Quality Homecare Agency Inc

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1447798194
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1995L001 Issued in NY
Legal business name
LIFE QUALITY HOMECARE AGENCY INC
Practice address
3057 Coney Island Avenue
Brooklyn, NY 11235
Phone
(718) 504-8666
Fax
(718) 891-2640
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Marianna Levin, RN
Title
Administrator
Phone
(718) 504-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1995L001 NY Primary

Addresses

Primary practice location

3057 Coney Island Avenue
Brooklyn, NY 11235

Mailing address

3057 Coney Island Avenue
Brooklyn, NY 11235
Phone (718) 504-8666

Other identifiers 1

IdentifierTypeStateIssuer
1780057398OtherNYNPPES

National Provider Directory

National Provider Directory
Tax ID family
Life Quality Homecare Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1447798194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 CONEY ISLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-504-8666",
            "fax_number": "718-891-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 CONEY ISLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-504-8666",
            "fax_number": "718-891-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUALITY HOMECARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-504-8666",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1995L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780057398",
            "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 Jul 24, 2019; 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.