Iyaho Social Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IYAHO SOCIAL SERVICES INC

Practice address

71 N Franklin St # 211
Hempstead, NY 11550-3048

Phone

(516) 280-5930

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Henry Eromosele, DR

Title

Executive Director

Phone

(516) 280-5930

Specialties & licenses 5

Addresses

Other identifiers 2

Tax ID family

Iyaho Social Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Iyaho Social Services Incorporation

  • Developmentally Disabled Services Day Training Agency
  • East Orange, NJ
  • NPI 1477999712
  NPD tax ID

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1568853554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 NORTH FRANKLIN STREET #-211",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-280-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 N FRANKLIN ST # 211",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503048",
            "telephone_number": "516-280-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4821 Avenue N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343711",
            "country_code": "US",
            "telephone_number": "718-676-9733",
            "fax_number": "347-702-8179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1554 Minford Pl",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104605706",
            "country_code": "US",
            "telephone_number": "917-688-1217",
            "fax_number": "917-688-1219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20813 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114281546",
            "country_code": "US",
            "telephone_number": "718-413-5199",
            "fax_number": "718-470-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IYAHO SOCIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "EROMOSELE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-280-5930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03132661",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03122158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Community Based Hospice Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.