Active NPI
Preventive Care LLC
- Early Intervention Provider Agency
- Springfield Gardens, NY
National Provider Identifier
1609505726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- PREVENTIVE CARE LLC
- Practice address
- 14839 231St St
Springfield Gardens, NY 11413-4244 - Phone
- (718) 781-6373
- NPI assigned
- Jun 6, 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
- Joseph Gino Louis
- Title
- President
- Phone
- (718) 781-6373
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
14839 231St St
Springfield Gardens, NY 11413-4244
Mailing address
14839 231St St
Springfield Gardens, NY 11413-4244
Phone (718) 781-6373
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Queens Village, NY
- NPI 1215603436
-
- Case Manager/Care Coordinator
- Springfield Gardens, NY
- NPI 1013785625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664496000000",
"number": "1609505726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14839 231ST ST",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114134244",
"telephone_number": "718-781-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14839 231ST ST",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114134244",
"telephone_number": "718-781-6373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A",
"authorized_official_last_name": "LOUIS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "GINO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-781-6373"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.