Home Attendant Vendor Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9574L001 Issued in NY

Legal business name

HOME ATTENDANT VENDOR AGENCY, INC.

Practice address

3036B Nostrand Ave.
Brooklyn, NY 11229-1821

Phone

(718) 253-3888

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Rankin

Title

Ececutive Director

Phone

(718) 253-3888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629156369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036B NOSTRAND AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-253-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036B NOSTRAND AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291821",
            "telephone_number": "718-253-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ATTENDANT VENDOR AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ECECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-253-3888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9574L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.