Organization Active NPI

Maxcen Housing Society Inc., New York Branch

  • Home Health Agency
  • Wyandanch, NY
National Provider Identifier
1497224158
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAXCEN HOUSING SOCIETY INC., NEW YORK BRANCH
Practice address
31 Garden City Ave
Wyandanch, NY 11798-3010
Phone
(888) 959-4159
Fax
(888) 959-4173
NPI assigned
Nov 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Jean Maxcene Decarde
Title
President
Phone
(888) 959-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

31 Garden City Ave
Wyandanch, NY 11798-3010

Mailing address

31 Garden City Ave
Wyandanch, NY 11798-3010
Phone (888) 959-4159

Other identifiers 1

IdentifierTypeStateIssuer
5119064OtherNYNY CORPORATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1497224158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GARDEN CITY AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983010",
            "telephone_number": "888-959-4159",
            "fax_number": "888-959-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GARDEN CITY AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983010",
            "telephone_number": "888-959-4159",
            "fax_number": "888-959-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCEN HOUSING SOCIETY INC., NEW YORK BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-24",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "DECARDE",
        "authorized_official_first_name": "JEAN MAXCENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-959-4159"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY CORPORATION",
            "identifier": "5119064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.