C.a.R.E. Mavens Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

C.A.R.E. MAVENS HOME HEALTH AGENCY LLC

Practice address

2220 W 11TH St
Apt 7D
Brooklyn, NY 11223-4343

Phone

(718) 986-1417

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Jacklyn Sukie

Title

Owner

Phone

(718) 986-1417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1528451200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W 11TH ST",
            "address_2": "APT 7D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234343",
            "telephone_number": "718-986-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W 11TH ST",
            "address_2": "APT 7D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234343",
            "telephone_number": "718-986-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.A.R.E. MAVENS HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "SUKIE",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-986-1417"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.