NPIMap

Organization Active NPI

Complete Home Care Service

  • Home Health Agency
  • Far Rockaway, NY
National Provider Identifier
1598054512
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
304366 Issued in NY
Legal business name
COMPLETE HOME CARE SERVICE
Practice address
2916 Falcon Ave
Far Rockaway, NY 11691-1845
Phone
(718) 337-3746
NPI assigned
Mar 30, 2011
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Mrs. Iris Harris-Jackson
Title
LPN
Phone
(718) 337-3746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 304366 NY Primary

Addresses

Primary practice location

2916 Falcon Ave
Far Rockaway, NY 11691-1845

Mailing address

2916 Falcon Ave
Far Rockaway, NY 11691-1845
Phone (718) 337-3746

National Provider Directory

National Provider Directory
Tax ID family
Complete Home Care Service6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1598054512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 FALCON AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911845",
            "telephone_number": "718-337-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 FALCON AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911845",
            "telephone_number": "718-337-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS-JACKSON",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "718-337-3746",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "304366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.