Organization Active NPI

Queens Long Island Certified Home Health Agency LLC

  • Home Health Agency
  • Flushing, NY
National Provider Identifier
1518200757
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUEENS LONG ISLAND CERTIFIED HOME HEALTH AGENCY LLC
Practice address
3625 Parsons Blvd
Flushing, NY 11354-5938
Phone
(718) 461-9115
NPI assigned
Apr 5, 2013
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Michael Benenson
Title
Member
Phone
(718) 461-9115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3625 Parsons Blvd
Flushing, NY 11354-5938

Mailing address

3625 Parsons Blvd
Flushing, NY 11354-5938
Phone (718) 461-9115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1518200757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545938",
            "telephone_number": "718-461-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545938",
            "telephone_number": "718-461-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS LONG ISLAND CERTIFIED HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "BENENSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-461-9115"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.