Homecare Services for Ind. Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9988L001 Issued in NY

Legal business name

HOMECARE SERVICES FOR IND. LIVING

Practice address

2044 Ocean Ave
Suite-B4
Brooklyn, NY 11230-7328

Phone

(718) 627-1150

Fax

(718) 627-2165

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gladys V Confident, BSN.MHS.MA. RN

Title

Program Director

Phone

(718) 627-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619090784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "SUITE-B4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307328",
            "telephone_number": "718-627-1150",
            "fax_number": "718-627-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "SUITE-B4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307328",
            "telephone_number": "718-627-1150",
            "fax_number": "718-627-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE SERVICES FOR IND. LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONFIDENT",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-627-1150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN.MHS.MA. RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9988L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00921068",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.