Organization Active NPI

PSC Community Services, Inc.

  • Home Health Agency
  • Long Island City, NY
National Provider Identifier
1528137767
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0542L001 Issued in NY
Legal business name
PSC COMMUNITY SERVICES, INC.
Practice address
5102 21St St
2ND Floor
Long Island City, NY 11101-5357
Phone
(718) 389-7060
Fax
(718) 389-6781
NPI assigned
Nov 6, 2006
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Mr. Christopher H Olechowski
Title
Director
Phone
(718) 398-7068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0542L001 NY Primary

Addresses

Primary practice location

5102 21St St
2ND Floor
Long Island City, NY 11101-5357

Mailing address

5102 21St St
2ND Floor
Long Island City, NY 11101-5357
Phone (718) 389-7060

Other identifiers 1

IdentifierTypeStateIssuer
00926090MedicaidNY

National Provider Directory

National Provider Directory

Locations

5102 21st St
Ste 2
Long Island City, NY 11101
Phone (718) 349-1905

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1528137767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 21ST ST",
            "address_2": "2ND FLOOR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015357",
            "telephone_number": "718-389-7060",
            "fax_number": "718-389-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 21ST ST",
            "address_2": "2ND FLOOR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015357",
            "telephone_number": "718-389-7060",
            "fax_number": "718-389-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSC COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "OLECHOWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-398-7068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0542L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.