Organization Active NPI

Anne Blue Home Health Care Agency

  • Nursing Care Agency
  • Brooklyn, NY
National Provider Identifier
1639377286
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
9837L001 Issued in NY
Legal business name
ANNE BLUE HOME HEALTH CARE AGENCY
Practice address
4708 Church Ave
Brooklyn, NY 11203-3210
Phone
(718) 462-2020
Fax
(172) 462-7699
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mrs. Hyacinth U Blue
Title
Director
Phone
(718) 462-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 9837L001 NY Primary

Addresses

Primary practice location

4708 Church Ave
Brooklyn, NY 11203-3210

Mailing address

21880 99TH Ave
Queens Village, NY 11429-1206

Other identifiers 1

IdentifierTypeStateIssuer
01701775MedicaidNY

National Provider Directory

National Provider Directory

Locations

4708 Church Ave
Brooklyn, NY 11203
Phone (718) 462-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1639377286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21880 99TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033210",
            "telephone_number": "718-462-2020",
            "fax_number": "172-462-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE BLUE HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-462-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "9837L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01701775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.