Active NPI
Family Care Nyc LLC
- In Home Supportive Care Agency
- Fresh Meadows, NY
National Provider Identifier
1629619432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FAMILY CARE NYC LLC
- Practice address
- 7840 164TH St Apt 2a
Fresh Meadows, NY 11366-1208 - Phone
- (347) 484-6858
- NPI assigned
- Oct 2, 2019
- 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
- Kinjal T Patel, BA
- Title
- President
- Phone
- (347) 484-6858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
7840 164TH St Apt 2a
Fresh Meadows, NY 11366-1208
Mailing address
7840 164TH St Apt 2a
Fresh Meadows, NY 11366-1208
Phone (347) 484-6858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05503168 | Medicaid | NY |
Other names 1
- Family Care NYC LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569974400000",
"number": "1629619432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 164TH ST APT 2A",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661208",
"telephone_number": "347-484-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 164TH ST APT 2A",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661208",
"telephone_number": "347-484-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE NYC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KINJAL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-484-6858",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05503168",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Care NYC LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.