Organization Active NPI

PHC Services, LTD.

  • Home Health Agency
  • Yonkers, NY
National Provider Identifier
1477693315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9350L001 Issued in NY
Legal business name
PHC SERVICES, LTD.
Practice address
1 Executive Blvd
Yonkers, NY 10701-6822
Phone
(914) 423-6410
Fax
(914) 423-6443
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Andrea Brown
Title
Vice President of Operations
Phone
(914) 423-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9350L001 NY Primary

Addresses

Primary practice location

1 Executive Blvd
Yonkers, NY 10701-6822

Mailing address

1 Executive Blvd
Yonkers, NY 10701-6822
Phone (914) 423-6410

Other identifiers 1

IdentifierTypeStateIssuer
01663414MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Executive Blvd
Yonkers, NY 10701
Phone (914) 377-1855

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477693315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-423-6410",
            "fax_number": "914-423-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-423-6410",
            "fax_number": "914-423-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "914-423-6410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9350L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663414",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.