Active NPI
Ageless Home Health Care, LLC.
- Home Health Agency
- Brooklyn, NY
National Provider Identifier
1457511974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AGELESS HOME HEALTH CARE, LLC.
- Practice address
- 1809 Gravesend Neck Rd
Brooklyn, NY 11229-4510 - Phone
- (718) 646-3777
- Fax
- (718) 646-3444
- NPI assigned
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Marie Baez, RN, BS
- Title
- President/Owner/Administrator
- Phone
- (718) 646-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1809 Gravesend Neck Rd
Brooklyn, NY 11229-4510
Mailing address
1809 Gravesend Neck Rd
Brooklyn, NY 11229-4510
Phone (718) 646-3777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1457511974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 GRAVESEND NECK RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294510",
"telephone_number": "718-646-3777",
"fax_number": "718-646-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 GRAVESEND NECK RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294510",
"telephone_number": "718-646-3777",
"fax_number": "718-646-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGELESS HOME HEALTH CARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "BAEZ",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT/OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "718-646-3777",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, BS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.