Active NPI
Averil Elizabeth Nembhard, MEDICAL ASSISTANCE
- In Home Supportive Care Agency
- Bronx, NY
National Provider Identifier
1609481274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 85-2122781
- Practice address
- 2728 Paulding Ave FL 1
Bronx, NY 10469-4108 - Phone
- (914) 758-3153
- Fax
- (718) 547-4648
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 85-2122781 | NY | Primary |
Addresses
Primary practice location
2728 Paulding Ave FL 1
Bronx, NY 10469-4108
Mailing address
2728 Paulding Ave FL 1
Bronx, NY 10469-4108
Phone (914) 758-3153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85--2122781 | Other | NY | HOME CAR SERVICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-2122781 | NY | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1609481274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 PAULDING AVE FL 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104694108",
"telephone_number": "914-758-3153",
"fax_number": "718-547-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 PAULDING AVE FL 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104694108",
"telephone_number": "914-758-3153",
"fax_number": "718-547-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMBHARD",
"first_name": "AVERIL",
"middle_name": "ELIZABETH",
"credential": "MEDICAL ASSISTANCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NY",
"license": "85-2122781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CAR SERVICE",
"identifier": "85--2122781",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.