Active NPI
Elim Home Care Agency LLC
- Home Health Agency
- Flushing, NY
National Provider Identifier
1548787716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2344L001
- Legal business name
- ELIM HOME CARE AGENCY LLC
- Practice address
- 163-15 Northern Blvd.,
Flushing, NY 11358 - Phone
- (718) 353-3225
- Fax
- (718) 285-8236
- NPI assigned
- Aug 28, 2017
- Last updated
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Somee Shin
- Title
- Administrator
- Phone
- (718) 353-3225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2344L001 | NY | Primary |
Addresses
Primary practice location
163-15 Northern Blvd.,
Flushing, NY 11358
Mailing address
163-15 Northern Blvd.,
Flushing, NY 11358
Phone (718) 353-3225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05149091 | Medicaid | NY | |
| 2344L001 | Other | NY | LICENSE NUMBER |
| 2344L001 | Other | NY | DOH |
National Provider Directory
National Provider Directory- Tax ID family
- Elim Home Care Agency LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Flushing, NY
- NPI 1023598042
Locations
16315 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1548787716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163-15 NORTHERN BLVD.,",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11358",
"telephone_number": "718-353-3225",
"fax_number": "718-285-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163-15 NORTHERN BLVD.,",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11358",
"telephone_number": "718-353-3225",
"fax_number": "718-285-8236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-28",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "SOMEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-353-3225"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "2344L001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05149091",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2344L001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "2344L001",
"state": "NY"
}
],
"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 Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.