Cdpap Home Care Service Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CDPAP HOME CARE SERVICE INC.

Practice address

142-18 38TH Avenue
Suite #CFD
Flushing, NY 11354-5554

Phone

(718) 614-7000

Fax

(718) 888-0025

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Pyong Sun Yun

Title

Owner/President

Phone

(718) 614-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUN STAR HOME CARE AGENCY Doing business as

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1558809673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-18 38TH AVENUE",
            "address_2": "SUITE #CFD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545554",
            "telephone_number": "718-614-7000",
            "fax_number": "718-888-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-18 38TH AVENUE",
            "address_2": "SUITE #CFD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545554",
            "telephone_number": "718-614-7000",
            "fax_number": "718-888-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDPAP HOME CARE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-02-28",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "PYONG",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-614-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04692339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN STAR HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.